Individual
MEGHAN ELIZABETH GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 45TH ST, GULFPORT, MS 39507-4019
(228) 234-3029
Mailing address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
800684947
MS
Other
Enumeration date
05/29/2012
Last updated
05/31/2012
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