Individual
JONATHAN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, STE 301, SLC, UT 84111-1700
(801) 322-4257
Mailing address
5857 W LA RIETA DR, HERRIMAN, UT 84096-4705
(801) 446-0552
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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