Individual
MICHAEL ALAN VANDERDOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4630 S 3500 W STE 1, WEST HAVEN, UT 84401-9401
(385) 626-9227
Mailing address
1471 N 1725 W, LAYTON, UT 84041-1755
(385) 626-9227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9814768-3501
UT
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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