Individual
BRENDA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
12201 EUCLID AVE, CLEVELAND, OH 44106-4310
(216) 721-4010
(216) 707-3429
Mailing address
12201 EUCLID AVE, CLEVELAND, OH 44106-4310
(216) 721-4010
(216) 707-3429
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1200654
OH
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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