| Lds Family Services W Valley Agency | |
|
5698 West Glen Eagle Drive West Valley City UT 84128 | |
| (801) 969-4181 | |
| (801) 969-1291 |
| Full Name | Lds Family Services W Valley Agency |
|---|---|
| Speciality | Counselor |
| Location | 5698 West Glen Eagle Drive, West Valley City, Utah |
| Authorized Official Name and Position | Mark S Glade (DIRECTOR) |
| Authorized Official Contact | 8019694181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services W Valley Agency 5698 West Glen Eagle Drive West Valley City UT 84128 Ph: (801) 969-4181 | Lds Family Services W Valley Agency 5698 West Glen Eagle Drive West Valley City UT 84128 Ph: (801) 969-4181 |
| NPI Number | 1548342553 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548342553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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