Individual
SAMUEL HARRIS POND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2027 N 200 E, NORTH LOGAN, UT 84341-5505
(435) 764-6312
Mailing address
2027 N 200 E, NORTH LOGAN, UT 84341-5505
(435) 764-6312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11747219-3501
UT
Other
Enumeration date
03/30/2017
Last updated
07/25/2022
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