Individual
MR. LESLIE GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. LMHC
Contact information
Practice address
120 ELM ST, BENNINGTON, VT 05201-2865
(413) 664-4541
Mailing address
PO BOX 198, WEST PAWLET, VT 05775-0198
(802) 447-8554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000928
VT
Other
Enumeration date
03/20/2007
Last updated
04/27/2017
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