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Individual

MR. GLEN RAY LAMBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1361 REBECCA CIR, SALT LAKE CITY, UT 84117-5864
(801) 272-7742
(801) 322-2831
Mailing address
1361 REBECCA CIR, SALT LAKE CITY, UT 84117-5864
(801) 272-7742
(801) 322-2831

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
109658-3501
UT

Other

Enumeration date
05/11/2007
Last updated
07/08/2007
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