Individual
MR. DYLAN EDWARD GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
155 S 18TH ST, KANSAS CITY, KS 66102-5642
(816) 550-2771
Mailing address
155 S 18TH ST, KANSAS CITY, KS 66102-5642
(816) 550-2771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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