Individual
SUSAN GLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1010 BEAVER CREST TER, HENDERSON, NV 89015-2924
(702) 379-6797
Mailing address
1010 BEAVER CREST TER, HENDERSON, NV 89015-2924
(702) 379-6797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9329-C
NV
1041C0700X
Clinical Social Worker
C-11376
NM
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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