Individual
DIANE CAROL GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9415 E HARRY ST, WICHITA, KS 67207-5089
(316) 652-2590
Mailing address
1729 S SAINT CLAIR AVE, WICHITA, KS 67213-2916
(620) 408-6078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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