Individual
KATHERINE E GLACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
185 ADMIRAL COCHRANE DR STE 120, ANNAPOLIS, MD 21401-7600
(443) 440-5780
Mailing address
101 15TH AVE, BROOKLYN PARK, MD 21225-3412
(443) 373-8557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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