Individual
BYRON PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 583-2500
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10401215-3502
UT
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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