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1306983614
GLEN RICHARD LOUTEY
BERKELEY, CA
NPI
1306983614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS14410)
Enumeration Date
2007-01-30
Last Update Date
2007-07-10
Business Address
-- GLEN RICHARD LOUTEY LCSW
3282 ADELINE ST
BERKELEY, CA 94703-2439
Phone number: 510-981-5280
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Mailing Address
-- GLEN RICHARD LOUTEY LCSW
3282 ADELINE ST
BERKELEY, CA 94703-2439
Phone number: 510-981-5236
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