| Denise Trotter Glynn | |
|
1300 Mercantile Ln Suite 136 C Largo MD 20774-5327 | |
| (301) 512-4689 | |
| (301) 773-1443 |
| Full Name | Denise Trotter Glynn |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1300 Mercantile Ln, Largo, Maryland |
| Authorized Official Name and Position | Denise Trotter Glynn (CEO) |
| Authorized Official Contact | 3015124689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Trotter Glynn 1300 Mercantile Ln Largo MD 20774-5327 Ph: (301) 512-4689 | Denise Trotter Glynn 1300 Mercantile Ln Suite 136 C Largo MD 20774-5327 Ph: (301) 512-4689 |
| NPI Number | 1952668055 |
|---|---|
| Provider Enumeration Date | 04/13/2012 |
| Last Update Date | 04/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952668055 | NPI | - | NPPES |
| 776800100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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