Individual
DR. CLAUDELLE RENEE GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
420 W GRAND AVE, LAKE VILLA, IL 60046-8664
(847) 356-3322
Mailing address
PO BOX 1088, LAKE VILLA, IL 60046-1088
(847) 356-3322
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007353
IL
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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