TELLISSA A COLGLAZIER

PORTLAND, IN
NPI1174143119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34010693A)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2020-04-20
Last Update Date2023-11-08
Business Address
TELLISSA A COLGLAZIER LCSW
1758 W 100 S
PORTLAND, IN 47371-8204
Phone number: 260-726-1960
Mailing Address
TELLISSA A COLGLAZIER LCSW
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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