Individual
MR. DANIEL DONALDSON FURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(801) 539-7071
Mailing address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(801) 539-7071
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
74100103502
UT
1041C0700X
Clinical Social Worker
Primary
74100103501
UT
Other
Enumeration date
12/03/2009
Last updated
07/27/2012
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