Individual
CORY WILLIAM GLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 720-5530
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 720-5530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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