Individual
GLENNA MARIE HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 S SHIELDS DR, WAUKEGAN, IL 60085-8307
(877) 270-1812
Mailing address
10912 75TH ST APT 102, KENOSHA, WI 53142-8405
(262) 960-3983
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/21/2024
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