Cheryl Glasscock
Early Intervention Provider Agency in Jemison, AL. Individual provider (NPI-1).
NPI number1750832879
StatusActive
Last updated in NPPESOct 24, 2016
Details
- NPI
- 1750832879
- Entity type
- Individual (NPI-1)
- Name
- Cheryl Glasscock
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2016
- Last updated
- Oct 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 0219 | AL | Yes |
Practice location
1589 County Road 152Jemison, AL 35085-5156
Phone 205-572-1368 · Fax 205-688-4929
Mailing address
1589 County Road 152Jemison, AL 35085-5156
Phone 205-572-1368 · Fax 205-688-4929
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