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1245450683
LOUIS KEVIN GLENN
PHILADELPHIA, PA
NPI
1245450683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: PA PC003865)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
LOUIS KEVIN GLENN ED.M., LPC, CAC
4053 BALWYNNE PARK RD
PHILADELPHIA, PA 19131-1601
Phone number: 215-432-6528
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Mailing Address
LOUIS KEVIN GLENN ED.M., LPC, CAC
4053 BALWYNNE PARK RD
PHILADELPHIA, PA 19131-1601
Phone number: 215-432-6528
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