GLENN LISSNER

RALEIGH, NC
NPI1760571020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C003099)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- GLENN LISSNER
5505 CREEDMOOR RD SUITE 100
RALEIGH, NC 27612-6333
Phone number: 919-852-5352
Mailing Address
-- GLENN LISSNER
1313 RENSHAW CT
CARY, NC 27511-8858
Phone number: