Individual
HOLLIS HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW, MSW
Contact information
Practice address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(385) 977-8736
Mailing address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13427307-3502
UT
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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