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1760571020
GLENN LISSNER
RALEIGH, NC
NPI
1760571020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C003099)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- GLENN LISSNER
5505 CREEDMOOR RD SUITE 100
RALEIGH, NC 27612-6333
Phone number: 919-852-5352
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Mailing Address
-- GLENN LISSNER
1313 RENSHAW CT
CARY, NC 27511-8858
Phone number:
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