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Individual

GLENN EDWARD SPRUNGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
1590 CRESTVIEW DR, ASHLAND, OH 44805-3560
(419) 929-0970
Mailing address
1590 CRESTVIEW DR, ASHLAND, OH 44805-3560

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1101541
OH

Other

Enumeration date
03/12/2018
Last updated
03/12/2018
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