Individual
BRITTANY GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 RUGBY RD, CHAMPAIGN, IL 61821-5739
(217) 281-2117
Mailing address
2407 SOUTHWOOD DR, CHAMPAIGN, IL 61821-5416
(217) 281-2117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
IL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149.031175
IL
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/30/2018
Last updated
03/09/2026
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