WALTER STANLEY GLASS

SAN DIEGO, CA
NPI1073934774
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-12-23
Last Update Date2013-12-23
Business Address
Mr. WALTER STANLEY GLASS
6193 WUNDERLIN AVE
SAN DIEGO, CA 92114-2434
Phone number: 619-578-2539
Mailing Address
Mr. WALTER STANLEY GLASS
6193 WUNDERLIN AVE
SAN DIEGO, CA 92114-2434
Phone number: 619-578-2539
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