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Individual

MICHELLE GLOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMHC

Contact information

Practice address
345 E 4500 S, MURRAY, UT 84107-3991
(801) 747-3556
Mailing address
345 E 4500 S, MURRAY, UT 84107-3991
(801) 747-3556

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4829643-6004

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GLOVER0729
UT
05
MICHELLE0729
UT
Enumeration date
05/01/2013
Last updated
05/01/2013
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