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Individual

CHARLES MARSHALL GLOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
515 KEISLER DR, SUITE 104, CARY, NC 27518-7097
(919) 616-8819
(866) 401-2407
Mailing address
118 CATHERWOOD PL, CARY, NC 27518-6812
(919) 616-8819
(866) 401-2407

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4996
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2342249
GROUP MEDICARE
NC
Enumeration date
06/07/2006
Last updated
03/11/2010
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