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1003107301
SHIRLEY GLENN
HIGHLAND PARK, MI
NPI
1003107301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-04-21
Last Update Date
2011-04-21
Business Address
-- SHIRLEY GLENN Associates
12501 HAMILTON
HIGHLAND PARK, MI 48203
Phone number: 313-587-3092
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Mailing Address
-- SHIRLEY GLENN Associates
PO BOX 725098
BERKLEY, MI 48072-5098
Phone number: 313-587-3092
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