GLENN RISSE

FORT GRATIOT, MI
NPI1760429419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801078284)
Enumeration Date2006-06-01
Last Update Date2007-07-08
Business Address
-- GLENN RISSE
3847 PINE GROVE AVE SUITE A
FORT GRATIOT, MI 48059-4217
Phone number: 810-985-4009
Mailing Address
-- GLENN RISSE
1011 MILITARY ST
PORT HURON, MI 48060-5416
Phone number: 810-985-8900
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