Individual
COLLIN GLAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3625 UTICA RIDGE RD STE E, BETTENDORF, IA 52722-1653
(563) 526-0424
Mailing address
907 E 39TH ST APT 101, DAVENPORT, IA 52807-1713
(156) 394-0679
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-12984
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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