Individual
MR. LOGAN TAYLOR DENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
825 N 1420 E, OREM, UT 84097-5484
(801) 367-6544
Mailing address
PO BOX 971534, OREM, UT 84097-1534
(801) 367-6544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5634169-3501
UT
Other
Enumeration date
08/01/2013
Last updated
06/08/2016
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