Individual
MS. TERRI DENNEL GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAOM
Contact information
Practice address
1100 CESERY BLVD STE 100, JACKSONVILLE, FL 32211-5656
(904) 745-3070
(904) 745-3087
Mailing address
125 W 33RD ST, JACKSONVILLE, FL 32206-6428
(904) 634-1549
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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