Individual
MIKE J PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
457 E 1000 S, PLEASANT GROVE, UT 84062-3623
(801) 785-3735
Mailing address
457 E 1000 S, PLEASANT GROVE, UT 84062-3623
(801) 785-3735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5683720-3502
UT
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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