Individual
MRS. TIFFANY STAR GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2999 E HIGH ST, SPRINGFIELD, OH 45505-1428
(937) 888-0657
Mailing address
2999 E HIGH ST, SPRINGFIELD, OH 45505-1428
(937) 888-0657
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
33.023091
OH
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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