Individual
DAVID FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5667 S REDWOOD RD, SUITE #6B, TAYLORSVILLE, UT 84123-5433
(801) 979-1351
Mailing address
2790 E 3000 S, SALT LAKE CITY, UT 84109-2037
(801) 484-0112
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7693790-3904
UT
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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