Individual
SONIA DIANE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6285 LITTLETON DR, UNION CITY, GA 30291-1071
(678) 887-0080
Mailing address
6285 LITTLETON DR, UNION CITY, GA 30291-1071
(678) 887-0080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3478
GA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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