Tiffany Star Glenn, LMT
Prevention Professional in Springfield, OH. Individual provider (NPI-1).
NPI number1982138970
StatusActive
Last updated in NPPESApr 17, 2017
Details
- NPI
- 1982138970
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tiffany Star Glenn
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2017
- Last updated
- Apr 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 405300000X | Prevention Professional | 33.023091 | OH | Yes |
Practice location
2999 E High StSpringfield, OH 45505-1428
Phone 937-888-0657
Mailing address
2999 E High StSpringfield, OH 45505-1428
Phone 937-888-0657
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