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1962119164
MIKENNA GLENN
SALT LAKE CITY, UT
NPI
1962119164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 11779968-3502)
Enumeration Date
2022-10-28
Last Update Date
2022-10-28
Business Address
MIKENNA GLENN CSW
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-587-3000
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Mailing Address
MIKENNA GLENN CSW
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-587-3000
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