Individual
GREGORY GLADE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
9361 S 300 E, SANDY, UT 84070-2902
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
UT
390200000X
Student in an Organized Health Care Education/Training Program
390200000
UT
Other
Enumeration date
08/15/2013
Last updated
06/15/2022
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