Individual
MS. LENA SHACKS-GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2355 DELTA RD, BAY CITY, MI 48706-9340
(989) 778-2276
Mailing address
2355 DELTA RD, BAY CITY, MI 48706-9340
(989) 778-2276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
56801093219
MI
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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