Individual
ANNETTE GLAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(708) 646-7229
Mailing address
4930 N HALL ST, DALLAS, TX 75235-8812
(817) 668-6980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/04/2020
Last updated
08/28/2020
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