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Organization

LDS FAMILY SERVICES

Active
Parent organization
LDS FAMILY SERVICES
Other names
LDS Family Services W Valley Agency
Organization subpart
Yes

Provider details

NPI number
Legal business name
LDS FAMILY SERVICES
Authorized official
MR. MARK S GLADE LCSW (DIRECTOR)
(801) 969-4181
Entity
Organization

Contact information

Practice address
5698 WEST GLEN EAGLE DRIVE, WEST VALLEY CITY, UT 84128
(801) 969-4181
(801) 969-1291
Mailing address
5698 WEST GLEN EAGLE DRIVE, WEST VALLEY CITY, UT 84128
(801) 969-4181
(801) 969-1291

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/19/2006
Last updated
06/06/2008
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