Individual
KEZIA GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11777 HAMLET RD, CINCINNATI, OH 45240-1965
(513) 203-1748
Mailing address
11777 HAMLET RD, CINCINNATI, OH 45240-1965
(513) 203-1748
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
11/17/2020
Last updated
12/18/2024
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