Individual
MISS LARHONDA K GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2610 TRACELAND DR STE B, TUPELO, MS 38801-4226
(662) 680-9191
(662) 680-9196
Mailing address
2610 TRACELAND DR STE B, TUPELO, MS 38801-4226
(662) 680-9191
(662) 680-9196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
W9205
MS
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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