Individual
CHRISTOPHER JOHN DEHAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5801 FASHION BLVD STE 175, MURRAY, UT 84107-8115
(801) 314-4544
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 314-4544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1382693501
UT
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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