Individual
LAUREL ELSIE GLODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 MARGARET ST, PLATTSBURGH, NY 12901-2926
(518) 565-4858
(518) 565-4821
Mailing address
133 MARGARET ST, PLATTSBURGH, NY 12901
(518) 565-4858
(518) 565-4821
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
298230-1
NY
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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