Individual
GLENIS JOYCE PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 YOUREE DR STE 350A, SHREVEPORT, LA 71104-3646
(318) 210-0928
Mailing address
2800 YOUREE DR STE 350A, SHREVEPORT, LA 71104-3646
(318) 210-0928
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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