Individual
KIA Y GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 33RD PL SE, WASHINGTON, DC 20019-2910
(202) 230-0064
Mailing address
1215 33RD PL SE, WASHINGTON, DC 20019-2910
(202) 230-0064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
07/10/2023
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