Individual
HAILEY ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 364-0744
Mailing address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 364-0744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10521469-3502
UT
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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