Individual
MS. ANDREA SARA GLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
516 W BIJOU ST, COLORADO SPRINGS, CO 80905-1311
(719) 633-9114
(719) 329-0495
Mailing address
18131 FLOWERED MEADOW LN, MONUMENT, CO 80132-8715
(719) 800-1192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003292
CO
Other
Enumeration date
07/10/2018
Last updated
06/12/2019
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