GLEN VICTOR POWELL

LEOMINSTER, MA
NPI1104005693
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-10-31
Last Update Date2007-10-31
Business Address
-- GLEN VICTOR POWELL M.S.
100 ERDMAN WAY
LEOMINSTER, MA 01453-1804
Phone number: 978-537-0956
Mailing Address
-- GLEN VICTOR POWELL M.S.
20 OLDE COLONIAL DR APT 6
GARDNER, MA 01440-4212
Phone number: 978-273-8438