Individual
CALLIE JILL HOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
88 W 1000 N, LOGAN, UT 84321-2240
(435) 753-9046
(435) 787-9140
Mailing address
160 S 50 W, HYDE PARK, UT 84318-3517
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4732154-3503
UT
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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