Individual
JASON DAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 S 5300 W, HURRICANE, UT 84737-5702
(435) 656-6664
Mailing address
87 N 200 E STE 302, SAINT GEORGE, UT 84770-5019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9819396--3502
UT
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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