Individual
MS. SONDRA G GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
124 S BROADWAY AVE STE 408, ADA, OK 74820-5807
(580) 332-8773
(580) 332-8773
Mailing address
124 S BROADWAY AVE STE 408, ADA, OK 74820-5807
(580) 332-8773
(580) 332-8773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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