Individual
MS. CATAROLYN MICHELLE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8509 BENJAMIN RD, D, TAMPA, FL 33634-1224
(813) 872-8521
(813) 200-3707
Mailing address
8509 BENJAMIN RD, D, TAMPA, FL 33634-1224
(813) 872-8521
(813) 200-3707
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679096896-67
—
FL
Enumeration date
02/12/2013
Last updated
02/12/2013
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