NPI 1003663881
Glenna Marie Holm
Practice location
- Address
- 1530 S Shields Dr, Waukegan, IL 60085-8307
- Phone
- (877) 270-1812
- Mailing address
- 10912 75th St APT 102, Kenosha, WI 53142-8405
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1003663881
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 May 2024
- Record last updated
- 21 May 2024
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.