Individual
KYLE S TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
2019 W 1900 S STE 140, SYRACUSE, UT 84075-9643
(801) 809-3398
Mailing address
2019 W 1900 S STE 140, SYRACUSE, UT 84075-9643
(801) 809-3398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10832956-3502
UT
Other
Enumeration date
08/22/2017
Last updated
11/24/2018
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