Individual
MR. ROBERT S BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1149 LAKE ST, SALT LAKE CITY, UT 84105-1239
(801) 770-7415
Mailing address
1149 LAKE ST, SALT LAKE CITY, UT 84105-1239
(801) 770-7415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6628490-3501
UT
Other
Enumeration date
08/09/2007
Last updated
10/28/2011
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