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1336285964
GLENN A ROOSEVELT
LOUISVILLE, KY
NPI
1336285964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KY 105)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- GLENN A ROOSEVELT
758 S 1ST ST
LOUISVILLE, KY 40202-2023
Phone number: 502-589-1100
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Mailing Address
-- GLENN A ROOSEVELT
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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