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Individual

TAYLOR MARIE GLENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
867 S 800 W, PLEASANT GROVE, UT 84062-4505
(801) 785-9091
Mailing address
867 S 800 W, PLEASANT GROVE, UT 84062-4505

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
129766634102
UT

Other

Enumeration date
01/25/2023
Last updated
01/25/2023
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