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Individual

GLEN C MARSEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1340 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2045
(417) 967-3755
(417) 967-2630
Mailing address
PO BOX 817, CAPE GIRARDEAU, MO 63702-0817
(573) 335-4715
(573) 334-2303

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000725
MO

Other

Enumeration date
09/26/2005
Last updated
07/08/2007
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