Individual
GLADE EGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
92 LODESTONE WAY, TOOELE, UT 84074-8050
(435) 833-1900
Mailing address
426 GOLD DUST RD, GRANTSVILLE, UT 84029
(435) 744-9382
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
687359
UT
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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