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Organization
B. SHANE HARMON LCSW, LLC
Active
Organization
B. SHANE HARMON LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. B. SHANE HARMON LCSW (MANAGER)
(801) 475-0402
Entity
Organization
Contact information
Practice address
5149 S 1500 W, RIVERDALE, UT 84405-3926
(801) 475-0402
(801) 475-7464
Mailing address
5149 S 1500 W, RIVERDALE, UT 84405-3926
(801) 475-0402
(801) 475-7464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
141805-3501
UT
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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