Andrea Louiise Glenn

NPI #1104471226 in Pontiac, Michigan

Provider Information

NPI Number: 1104471226
Entity Type: Individual
Name: Andrea Louiise Glenn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 6, 2019
Last Updated: Aug 6, 2019

Practice Location

Address: 91 N SAGINAW ST STE 101
City: Pontiac
State: Michigan
ZIP Code: 48342-2165
Phone: (248) 254-2616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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