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Individual

LAURA GLASGOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, AT, ATC,

Contact information

Practice address
770 RIVERSIDE AVE STE 11, ADRIAN, MI 49221-1465
(517) 264-2244
Mailing address
770 RIVERSIDE AVE STE 11, ADRIAN, MI 49221-1465
(517) 264-2244

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6451022092
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-05156
MI
2255A2300X
Athletic Trainer
Primary
2601002195
MI

Other

Enumeration date
06/02/2021
Last updated
10/15/2024
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