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Individual

DEBORAH GLOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-BACS

Contact information

Practice address
10646 AIRLINE HWY # 101, GONZALES, LA 70737-7913
(225) 210-8758
(225) 224-6219
Mailing address
PO BOX 305, BRITTANY, LA 70718-0305

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LA
104100000X
Social Worker
Primary
11066
LA

Other

Enumeration date
03/01/2012
Last updated
07/21/2021
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