Individual
IVIE COLLEEN GLAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 787-8800
Mailing address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW126656
CA
Other
Enumeration date
06/16/2023
Last updated
11/12/2024
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