Individual
DOUGLAS JAY HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3494 S 3170 E, SALT LAKE CITY, UT 84109-3142
(801) 230-5405
Mailing address
3494 S 3170 E, SALT LAKE CITY, UT 84109-3142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12278172-3502
UT
1041C0700X
Clinical Social Worker
Primary
12278172-3501
UT
Other
Enumeration date
08/26/2021
Last updated
12/05/2024
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