Individual
GLADE WOOLSTENHULME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11762 S STATE ST STE 160, DRAPER, UT 84020-7158
(801) 654-3229
Mailing address
132 E SEGO LILY DR APT 302, SANDY, UT 84070-4269
(612) 875-0949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10787146-3502
UT
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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