Individual
KELLY GLANVILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4204 LEAFSTONE DR, COVINGTON, GA 30014-3326
(401) 678-0516
Mailing address
4204 LEAFSTONE DR, COVINGTON, GA 30014-3326
(401) 678-0516
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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