Individual
GLEN A SHEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
204 E 3RD ST, UHRICHSVILLE, OH 44683-1821
(740) 922-3801
(740) 922-6660
Mailing address
201 HOSPITAL DR, DOVER, OH 44622-2058
(330) 343-6631
(330) 343-8188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S. 0600807
OH
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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