Individual
CHERYL GLASSCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1589 COUNTY ROAD 152, JEMISON, AL 35085-5156
(205) 572-1368
(205) 688-4929
Mailing address
1589 COUNTY ROAD 152, JEMISON, AL 35085-5156
(205) 572-1368
(205) 688-4929
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0219
AL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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