Individual
MR. GLENN ALLENN MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
Mailing address
1102 MOUNT VERNON ST, OSHKOSH, WI 54901-3858
(920) 216-3081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20662-130
WI
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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