Shirley R Glenn

NPI #1164181616 in Oak Lawn, Illinois

Provider Information

NPI Number: 1164181616
Entity Type: Individual
Name: Shirley R Glenn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 13, 2021
Last Updated: Dec 13, 2021

Practice Location

Address: 9115 S CICERO AVE STE 200
City: Oak Lawn
State: Illinois
ZIP Code: 60453-1771
Phone: (177) 344-9085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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