Individual
CAROLINE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LAT, ATC
Contact information
Practice address
5345 ATLANTA HWY, MONTGOMERY, AL 36109-3323
(334) 386-7151
Mailing address
8275 FAIRHAVEN LN, MONTGOMERY, AL 36117-6316
(912) 657-0433
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1842
AL
Other
Enumeration date
12/11/2016
Last updated
12/11/2016
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