Individual
MISS CARLA DIANDRE GLASGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8350 MULLIGAN CIR, PORT ST LUCIE, FL 34986-3280
(239) 641-4346
Mailing address
PO BOX 880591, PORT ST LUCIE, FL 34988-0591
(239) 641-4346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
FL
Other
Enumeration date
11/26/2020
Last updated
01/07/2021
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