Individual
GORDON TANNER FOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
672 TEMPLEVIEW DR, BOUNTIFUL, UT 84010-1381
(469) 578-2743
Mailing address
672 TEMPLEVIEW DR, BOUNTIFUL, UT 84010-1381
(469) 578-2743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16275
TX
1041C0700X
Clinical Social Worker
2996
OK
Other
Enumeration date
02/20/2007
Last updated
07/27/2022
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