Individual
GLENN EVELAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2882 CRICKET LN, WILLOUGHBY HILLS, OH 44092-1412
(440) 725-8460
Mailing address
2882 CRICKET LN, WILLOUGHBY HILLS, OH 44092-1412
(440) 725-8460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S 0021986
OH
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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