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Individual

MICHAEL GLANCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2011 N MERIDIAN ST, INDIANAPOLIS, IN 46202-1305
(317) 941-2200
(317) 941-2208
Mailing address
2011 N MERIDIAN ST, INDIANAPOLIS, IN 46202-1305
(317) 941-2200
(317) 941-2208

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000397
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000279694
ANTHEM BCBS
IN
01
0234743
SAGAMORE
IN
01
064958
VALUE OPTIONS
IN
01
1055023
CIGNA
IN
01
90197
MHN
IN
Enumeration date
01/03/2007
Last updated
07/08/2007
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