Individual
JACQUELINE R GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHT
Contact information
Practice address
1605 N MISSISSIPPI AVE, LAUREL, MS 39440-3172
(601) 705-1901
Mailing address
1605 N MISSISSIPPI AVE, LAUREL, MS 39440-3172
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CH0648
MS
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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