Mary Glenn, LPC

NPI 1396994984 · on the registry since 2008 · sole proprietor

Practice

Address: 2516 Oakland Blvd
Suite 5
Fort Worth, TX 76103
Phone: (817) 535-6300
Fax: (817) 535-4100
Organisation at this address: Milestone Geriatric Day Care, Inc
Milestone Geriatric Day Care, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas