Individual
CHASITY T GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 NE 84TH ST, OKLAHOMA CITY, OK 73114-3912
(405) 206-9241
Mailing address
920 NE 84TH ST, OKLAHOMA CITY, OK 73114-3912
(405) 206-9241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/21/2013
Last updated
12/21/2013
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