Individual
LORI GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 MONROVIA AVE, SMYRNA, DE 19977-1530
(302) 653-8585
Mailing address
82 MONROVIA AVE, SMYRNA, DE 19977-1530
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
85154
DE
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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