Individual
GLENN ALLEN WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LP
Contact information
Practice address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0688
MN
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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