Individual
LAURA ELIZABETH GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, PIP
Contact information
Practice address
1111 WAYNE RD NW STE 6, HUNTSVILLE, AL 35806-3573
(256) 288-3333
(256) 288-3334
Mailing address
67 GARY ANDERS RD, HARTSELLE, AL 35640-7307
(256) 318-6300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4242C
AL
Other
Enumeration date
12/08/2019
Last updated
06/29/2020
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