Individual
MRS. KIMBERLY GLAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., CHW, CRS
Contact information
Practice address
357 TANGER BLVD STE 215, SEYMOUR, IN 47274-3597
(812) 558-9016
Mailing address
357 TANGER BLVD STE 215, SEYMOUR, IN 47274-3597
(812) 558-9016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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