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1992890081
GLENN S. DAVIDSON
MUNCIE, IN
NPI
1992890081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20010351A)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- GLENN S. DAVIDSON Ph.D., HSPP
1901 W ROYALE DR
MUNCIE, IN 47304-2265
Phone number: 765-282-4317
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Mailing Address
-- GLENN S. DAVIDSON Ph.D., HSPP
1901 W ROYALE DR
MUNCIE, IN 47304-2265
Phone number: 765-282-4317
Copy
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