Individual
HAILEY JO DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
2940 N CHURCH ST STE 303, LAYTON, UT 84040-6617
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11942466-3503
UT
Other
Enumeration date
07/17/2020
Last updated
09/30/2020
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