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Individual
SHELBA T. GLENN
Active
Individual
SHELBA T. GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13936
TX
101YM0800X
Mental Health Counselor
Primary
13936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027343501
—
TX
Enumeration date
10/24/2008
Last updated
10/24/2008
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