Individual
CHANNING EDEN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2806 DR JOHN HAYNES DR, PELL CITY, AL 35125-1485
(205) 884-7621
Mailing address
1908 CHATEAU CIR APT 301, HOMEWOOD, AL 35209-5632
(334) 430-3733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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