Individual
BREENA GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 CRESTVIEW TER, BRIDGEPORT, WV 26330-1010
(304) 842-3610
Mailing address
1343 HEADLEE AVE, UNIT 13, MORGANTOWN, WV 26505-2672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1059
WV
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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