Individual
KRISTI GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 EXCHANGE ST, MILLIS, MA 02054-1212
(508) 649-4038
Mailing address
101 SYCAMORE ST, BROCKTON, MA 02301-3155
(508) 649-4038
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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