Individual
MR. RAWLAND D GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
1050 CRATER LAKE AVE, SUITE D, MEDFORD, OR 97504-6223
(541) 282-7814
(541) 245-2633
Mailing address
PO BOX 4705, MEDFORD, OR 97501-0192
(541) 282-7814
(541) 245-2633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3512
OR
Other
Enumeration date
02/15/2006
Last updated
02/08/2008
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