| Doctor Name: | MARGARET ROSE GLENN |
| NPI Number: | 1053727826 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW,ACHP-SW |
| License Number: | SW3666 |
| Business Practice Address: | 1724 Village Way Ste A Orange Park, FL - 320735225 |
| Business Phone Number: | 9042690886 |
| Business Fax Number: | 9042690499 |
| Mailing Address: | 1724 Village Way Ste A, ORANGE PARK |
| State: | FL |
| Postal Code: | 320735225 |
| Phone Number: | 9042690886 |
| Fax Number: | 9042690499 |
| NPI Enumeration Date: | 07/01/2014 |
| NPI Last Update Date: | 07/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW3666 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |