| Alan Glass,llc | |
|
109 Ash St Suite D North Myrtle Beach SC 29582-3093 | |
| (843) 427-4429 | |
| Not Available |
| Full Name | Alan Glass,llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 109 Ash St, North Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Alan Glass (MANAGER) |
| Authorized Official Contact | 8434274429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Glass,llc 109 Ash St Suite D North Myrtle Beach SC 29582-3093 Ph: (843) 427-4429 | Alan Glass,llc 109 Ash St Suite D North Myrtle Beach SC 29582-3093 Ph: (843) 427-4429 |
| NPI Number | 1083851901 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083851901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW8759 (South Carolina) | Primary |
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