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1790899748
JANIS GLENN
BOISE, ID
NPI
1790899748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW- 26245)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Mrs. JANIS GLENN MSW, LCSW
500 W FORT ST BOISE VAMC
BOISE, ID 83702-4501
Phone number: 208-422-1360
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Mailing Address
Mrs. JANIS GLENN MSW, LCSW
3493 E FLORENCE DR
MERIDIAN, ID 83642-6049
Phone number: 208-888-5044
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