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1669919593
GLEN PORTER
LAYTON, UT
NPI
1669919593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 9823173-6009)
Enumeration Date
2017-01-30
Last Update Date
2018-01-19
Business Address
GLEN PORTER ACMHC
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-336-1839
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Mailing Address
GLEN PORTER ACMHC
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-336-1839
Copy
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