Most Relevant Information
Provider Data
| NPI Number: | 1003263526 |
| Provider Name: | GLENN PARKER LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 44L06081600 |
Most Important Dates
| Enumeration Date: | 05/16/2016 |
| Last Updated: | 05/16/2016 |
Provider Practice Location
36 W WATER ST
TOMS RIVER
NJ
087537414
Practice Location Phone/Fax
| Phone: | 6096618052 |
| Fax: |
Provider Mailing Location
36 W WATER ST
TOMS RIVER
NJ
087537414
Provider Mailing Phone/Fax
| Phone: | 6096618052 |
| Fax: |