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Individual

GLEN M. DENLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
10605 JUDICIAL DR STE A1, FAIRFAX, VA 22030-5116
(703) 919-3905
Mailing address
10401 NELLIE WHITE LN, FAIRFAX, VA 22032-3820
(703) 919-3905

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006827
VA
1041C0700X
Clinical Social Worker
LCSW 2179
FL

Other

Enumeration date
08/05/2006
Last updated
04/17/2020
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