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Individual

MR. CHARLES WAYNE TRICE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
5770 S 1500 W, C, TAYLORSVILLE, UT 84123-5216
(801) 313-7940
Mailing address
1381 E MILLSTREAM LN, SALT LAKE CITY, UT 84106-2921
(801) 550-3486

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128276-3501
UT

Other

Enumeration date
02/08/2013
Last updated
10/07/2022
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