Individual
CAITLYN GLISSMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N 191ST AVE, ELKHORN, NE 68022-3350
(435) 452-1583
Mailing address
3401 N 191ST AVE, ELKHORN, NE 68022-3350
(435) 452-1583
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12737
NE
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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