NPI 1003107301
Shirley Glenn, ASSOCIATES
Practice location
- Address
- 12501 Hamilton, Highland Park, MI 48203
- Phone
- (313) 587-3092
- Mailing address
- PO Box 725098, Berkley, MI 48072-5098
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1003107301
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Apr 2011
- Record last updated
- 21 Apr 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.