Individual
MRS. SANDRA LEE GLAIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
225 S SWOOPE AVE, MAITLAND, FL 32751-5704
(407) 851-0140
(407) 851-0140
Mailing address
4133 CONWAY PLACE CIR, ORLANDO, FL 32812-7990
(407) 851-0140
(407) 851-0140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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