Individual
CORTNEY C GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 GLENWAY ST APT 3, DORCHESTER, MA 02121-4188
(617) 320-5941
Mailing address
87 GLENWAY ST APT 3, DORCHESTER, MA 02121-4188
(617) 320-5941
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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