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Glenn Roosevelt
NPI 1336285964 · on the registry since 2007
Practice
- Address
- 758 S 1st St
Louisville, KY 40202 - Phone
- (502) 589-1100
- Fax
- (502) 589-8771
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky