GLENN EDWARD ROCK

SAN DIEGO, CA
NPI1780168567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2018-09-18
Last Update Date2018-09-18
Business Address
GLENN EDWARD ROCK RADT-1
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2599
Phone number: 619-584-4010
Mailing Address
GLENN EDWARD ROCK RADT-1
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2599
Phone number: 619-584-4010
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