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1619308590
KENNETH LENSFORD GLOVER
ALBANY, NY
NPI
1619308590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-12-03
Last Update Date
2013-12-03
Business Address
MR. KENNETH LENSFORD GLOVER CDC2
64 2ND AVE
ALBANY, NY 12202-1240
Phone number: 518-449-5170
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Mailing Address
MR. KENNETH LENSFORD GLOVER CDC2
15A OLD HICKORY DR APT 1B
ALBANY, NY 12204-1129
Phone number: 518-330-5544
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