GLENN A ROOSEVELT

LOUISVILLE, KY
NPI1336285964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: KY  105)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
-- GLENN A ROOSEVELT
758 S 1ST ST
LOUISVILLE, KY 40202-2023
Phone number: 502-589-1100
Mailing Address
-- GLENN A ROOSEVELT
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: