Individual
ELIZABETH TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 336-1845
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12939289-3502
—
Other
Enumeration date
01/12/2022
Last updated
09/25/2024
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