Individual
MRS. ELIZABETH RAY GLAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1105 FURYS LN STE D, MARTINEZ, GA 30907-8238
(706) 288-5082
(706) 863-0941
Mailing address
PO BOX 238, APPLING, GA 30802-0238
(706) 288-5082
(706) 863-0941
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003774
GA
Other
Enumeration date
09/04/2006
Last updated
06/16/2021
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