Individual
JACOB D GLISSMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3006 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84106-3020
(801) 679-5352
Mailing address
3006 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84106-3020
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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