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Organization
THE GREEN HOUSE CENTER FOR GROWTH AND LEARNING
Active
Organization
THE GREEN HOUSE CENTER FOR GROWTH AND LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLETTE DAWSONLOVELESS LCSW (PROGRAM DIRECTOR)
(801) 785-1169
Entity
Organization
Contact information
Practice address
135 W CENTER ST, PLEASANT GROVE, UT 84062-2207
(801) 785-1169
(801) 785-1154
Mailing address
135 W CENTER ST, PLEASANT GROVE, UT 84062-2207
(801) 785-1169
(801) 785-1154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
348753-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788007788047
—
UT
Enumeration date
05/18/2007
Last updated
04/13/2016
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