Individual
ABIGAIL GLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 LAKESHORE DR, LEBANON, IN 46052-3100
(765) 483-3090
Mailing address
125 LAKESHORE DR, LEBANON, IN 46052-3100
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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