Individual
DEBORAH SUSAN GLASSCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 466-7443
(208) 466-5058
Mailing address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 466-7443
(208) 466-5058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-28348
ID
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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