Individual
JACOB GARY BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 S 900 W, SOUTH SALT LAKE, UT 84119-4104
(385) 377-4465
Mailing address
2636 E STRINGHAM AVE APT A124, SALT LAKE CITY, UT 84109-4902
(354) 704-2385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
08/24/2021
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