Individual
DONALD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 W CENTER ST, PLEASANT GROVE, UT 84062-2207
(801) 785-1169
Mailing address
135 W CENTER ST, PLEASANT GROVE, UT 84062-2207
(801) 785-1169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10700415-3502
UT
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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