| Glow Services, Llc | |
|
2300 W Hopkins St Milwaukee WI 53206-1749 | |
| (414) 218-1001 | |
| Not Available |
| Full Name | Glow Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2300 W Hopkins St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Mickell Daniels (CEO/LEAD THERAPIST) |
| Authorized Official Contact | 4146280112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glow Services, Llc Po Box 91352 Milwaukee WI 53209-8352 Ph: (414) 628-0112 | Glow Services, Llc 2300 W Hopkins St Milwaukee WI 53206-1749 Ph: (414) 218-1001 |
| NPI Number | 1740964972 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Certification Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740964972 | NPI | - | NPPES |
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