Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1063850527 |
---|---|
Provider Name | Mr. Christopher D Glover |
First Address | Easley, SC 29640-6929 |
Second Address | Easley, SC 29640-6929 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2013 |
Last Update Date | 06/06/2013 |