Individual
GLENN THOMAS GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6900 ALDEN DR, CHEYENNE, WY 82005-3906
(307) 773-4228
Mailing address
6900 ALDEN DR, CHEYENNE, WY 82005-3906
(307) 773-4228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108
LICENSED CLINICAL SOCIAL WORKER
WY
Enumeration date
05/03/2018
Last updated
05/03/2018
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