Individual
MRS. WENDY GLISSON BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC1
Contact information
Practice address
5 SW BROAD ST, METTER, GA 30439-4433
(912) 515-5026
Mailing address
52981 ROSEMARY CHURCH RD, METTER, GA 30439-9450
(912) 531-2928
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Enumeration date
06/07/2020
Last updated
06/07/2020
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