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GLORYMAR BIRKELAND MS

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508315011

Individual Registrant:
 GLORYMAR  BIRKELAND MS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1499 FOREST HILL BLVD STE 101  LAKE CLARKE SHORES, FL 33406-6050 US
Tel: 561-777-6504  Fax: 561-777-6504

Contact information for business:
8129 SEDGEWICK CT UNIT A WEST PALM BEACH, FL 33406-8472 US
Tel: 561-777-6504  Fax: --

Registration Information:
NPI: 1508315011
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH16604

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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