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Individual

MISS AMBER T GLAVOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMFT

Contact information

Practice address
521 S LA GRANGE RD, LA GRANGE, IL 60525-6700
(815) 690-6566
Mailing address
2003 S AUSTRIAN PINE ST, LOCKPORT, IL 60441-3879
(815) 690-6566

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166001250
IL
106H00000X
Marriage & Family Therapist
86584
CA

Other

Enumeration date
07/22/2011
Last updated
07/31/2020
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