Individual
CANDICE MARIE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
215 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8850
(800) 920-0834
Mailing address
215 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8850
(800) 920-0834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23271773
TN
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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