Individual
STEPHANIE GLAITTLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
1188 S 1200 W, SALT LAKE CITY, UT 84104-2828
(801) 638-2893
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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