Individual
JUDY GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 WICKERSHAM DR, ATHENS, GA 30606-3182
(706) 254-5209
Mailing address
130 WICKERSHAM DR, ATHENS, GA 30606-3182
(706) 254-5209
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN105187
GA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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