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Individual

DENISE GLENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
47737 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3372
(586) 623-8030
(586) 935-0135
Mailing address
1129 W. 14 MILE PO BOX # 1003, CLAWSON, MI 48017
(586) 298-2460

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851119384
MI

Other

Enumeration date
01/17/2025
Last updated
01/17/2025
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