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1184617755
MITZI K GLASS
CHESAPEAKE, VA
NPI
1184617755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904004491)
Enumeration Date
2005-08-29
Last Update Date
2007-07-08
Business Address
-- MITZI K GLASS
1215 VOLVO PKWY STE 202
CHESAPEAKE, VA 23320-7656
Phone number: 757-312-8550
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Mailing Address
-- MITZI K GLASS
760 LYNNHAVEN PKWY STE 201
VIRGINIA BEACH, VA 23452-7325
Phone number: 757-306-4232
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