Individual
SHAWN M GLENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 S GARDEN AVE, ROSWELL, NM 88203-6866
(575) 624-7660
Mailing address
1010 S GARDEN AVE, ROSWELL, NM 88203-6866
(575) 624-7660
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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