Individual
GLEN STEENBLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7321 S STATE ST, #AB, MIDVALE, UT 84047-2055
(801) 587-3954
Mailing address
PO BOX 900245, SANDY, UT 84090-0245
(801) 501-8444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120620-3501
UT
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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