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1760697908
GLENN CHARLES CLOUSE
MESA, AZ
NPI
1760697908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AZ 3583)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Dr. GLENN CHARLES CLOUSE Psy.D.
4554 E INVERNESS AVE SUITE C-11
MESA, AZ 85206-4639
Phone number: 480-226-0917
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Mailing Address
Dr. GLENN CHARLES CLOUSE Psy.D.
4554 E INVERNESS AVE SUITE C-11
MESA, AZ 85206-4639
Phone number:
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