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1336885250
ALEX MICHAEL GLICKMAN
SAN RAFAEL, CA
NPI
1336885250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
ALEX MICHAEL GLICKMAN
291 SMITH RANCH RD
SAN RAFAEL, CA 94903-2093
Phone number: 415-492-0818
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Mailing Address
ALEX MICHAEL GLICKMAN
PO BOX 2281
SAN RAFAEL, CA 94912-2281
Phone number:
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