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1396808739
GLENN WILLIAM EVANS
FLINT, MI
NPI
1396808739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 6401009990)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- GLENN WILLIAM EVANS MA, LLPC
2091 PROFESSIONAL DR SUITE I-1
FLINT, MI 48532-3657
Phone number: 810-732-1652
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Mailing Address
-- GLENN WILLIAM EVANS MA, LLPC
410 VICTOR DR
SAGINAW, MI 48609-5184
Phone number: 989-781-6178
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