Individual
VONDA K GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 21ST AVE S, NASHVILLE, TN 37212-3160
(615) 322-2028
Mailing address
1500 21ST AVE S, NASHVILLE, TN 37212-3160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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