Individual
TYSON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
5965 S 900 E, MURRAY, UT 84121-1720
(801) 263-7138
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
9858818-3501
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
05/24/2022
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