Individual
MARY DOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
523 HERITAGE PARK BLVD, LAYTON, UT 84041-5711
(385) 429-3991
(801) 525-6984
Mailing address
523 HERITAGE PARK BLVD, LAYTON, UT 84041-5711
(385) 429-3991
(801) 525-6984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5484223-3503
UT
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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