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1487286365
EDWARD RICHARD ALLEN GLASS
JACKSONVILLE, FL
NPI
1487286365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH-15511)
Enumeration Date
2020-02-07
Last Update Date
2020-02-07
Business Address
Mr. EDWARD RICHARD ALLEN GLASS LMHC
8057 KILWINNING LN
JACKSONVILLE, FL 32244-5500
Phone number: 904-655-5440
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Mailing Address
Mr. EDWARD RICHARD ALLEN GLASS LMHC
8057 KILWINNING LN
JACKSONVILLE, FL 32244-5500
Phone number: 904-655-5440
Copy
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