Individual
JAMIE GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1830 S. ALMA SCHOOL RD, STE. 112, MESA, AZ 85210
(480) 730-6222
Mailing address
109 E GAIL DR, GILBERT, AZ 85296-4274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12568
AZ
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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