Individual
DANIEL GRANT HAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
4626 N 300 W STE 150, PROVO, UT 84604-6077
(801) 407-4134
Mailing address
4626 N 300 W STE 150, PROVO, UT 84604-6077
(801) 407-4134
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
13372966-3904
UT
Other
Enumeration date
01/31/2023
Last updated
06/03/2023
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