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Individual

BRITTANY D GLASGOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1099 PLAYGROUND RD, CHARLESTON, SC 29407-6465
(843) 573-2111
(843) 573-2119
Mailing address
1099 PLAYGROUND RD, CHARLESTON, SC 29407-6465
(843) 573-2111
(843) 573-2119

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8780101183
SC
Enumeration date
07/20/2021
Last updated
07/20/2021
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