Individual
MR. DEREK DAVID BARRIENTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
151 E 1700 S, PROVO, UT 84606-7322
(801) 357-0754
Mailing address
477 W 1200 S, OREM, UT 84058-6772
(501) 213-8810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
129002893502
UT
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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