ELLEN MARIE GLAZE

SAN PABLO, CA
NPI1184768103
Professional NameELLEN MARIE MAYFIELD GLAZE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-16
Last Update Date2010-11-03
Business Address
-- ELLEN MARIE GLAZE MS
1515 MARKET AVE
SAN PABLO, CA 94806-4357
Phone number: 510-232-7571
Mailing Address
-- ELLEN MARIE GLAZE MS
1515 MARKET AVE
SAN PABLO, CA 94806-4357
Phone number: 510-232-7571
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