Individual
JERRY L BUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1174 E GRAYSTONE WAY STE 20E, SALT LAKE CITY, UT 84106-2678
(801) 595-0666
(801) 595-0669
Mailing address
1174 E GRAYSTONE WAY STE 20E, SALT LAKE CITY, UT 84106-2678
(801) 595-0666
(801) 595-0669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140182-3501
UT
Other
Enumeration date
02/27/2006
Last updated
11/28/2023
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