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Individual

MIRRANDA L GLASKOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CT

Contact information

Practice address
50 GREENWOOD LN, SPRINGBORO, OH 45066-3033
(937) 746-8523
(937) 746-7857
Mailing address
204 COOK RD STE 400, LEBANON, OH 45036-9600
(513) 228-7800
(513) 725-2231

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1901743-TRNE
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
RA.161588
OH

Other

Enumeration date
07/11/2017
Last updated
06/03/2019
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