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1861078081
GLENN GANTNER
APO, AP
NPI
1861078081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW17792)
Enumeration Date
2021-03-18
Last Update Date
2024-09-05
Business Address
GLENN GANTNER LCSW
18TH MEDICAL GROUP UNIT 5142
APO, AP 96368-5142
Phone number: 315-364-3272
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Mailing Address
GLENN GANTNER LCSW
18TH MEDICAL GROUP UNIT 5142
APO, AP 96368-5142
Phone number:
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