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1689897860
MARY K GLENN
DETROIT, MI
NPI
1689897860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Ms. MARY K GLENN SAC
8809 JOHN C. LODGE SERVICE DRIVE BUILDING #5
DETROIT, MI 48202
Phone number: 313-887-6721
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Mailing Address
Ms. MARY K GLENN SAC
3279 PINGREE ST
DETROIT, MI 48206-2103
Phone number: 313-895-1836
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