Individual
HAREF MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1760 W 4805 S, TAYLORSVILLE, UT 84118-1177
(801) 955-9110
Mailing address
5333 S 2150 W, TAYLORSVILLE, UT 84118-1360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
75202803502
UT
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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