Individual
BRITTANY TANNER GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 SE 14TH AVE, PORTLAND, OR 97214-2569
(503) 622-8964
Mailing address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2023
Last updated
10/06/2024
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