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1023069358
MARK HAMILTON GLADE
SANDY, UT
NPI
1023069358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 312261-3501)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
Mr. MARK HAMILTON GLADE L.C.S.W.
625 E 8400 S
SANDY, UT 84070-0525
Phone number: 801-566-2556
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Mailing Address
Mr. MARK HAMILTON GLADE L.C.S.W.
2351 CAVE HOLLOW WAY
BOUNTIFUL, UT 84010-1203
Phone number: 801-294-3704
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