Glade, Mark Hamilton

Glade, Mark Hamilton is an individual health care provider with primary practice located at 625 E 8400 S , Sandy UT 84070-0525. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Glade, Mark Hamilton can be contacted via phone (801) 566-2556.

Contact Information

Primary practice address
625 E 8400 S Sandy UT 84070-0525
Fax: (801) 566-3926
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 312261-3501 Utah

Profile Details

NPI number 1023069358
LBN Legal business name Glade, Mark Hamilton
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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