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1104336171
SCOTT GLASGOW
MOUNT VERNON, IL
NPI
1104336171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 178.011015)
Enumeration Date
2017-10-04
Last Update Date
2017-10-04
Business Address
SCOTT GLASGOW
16338 N IL HIGHWAY 37
MOUNT VERNON, IL 62864-8178
Phone number: 618-242-1510
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Mailing Address
SCOTT GLASGOW
16338 N IL HIGHWAY 37
MOUNT VERNON, IL 62864-8178
Phone number: 618-242-1510
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