Individual
TREVOR JEFFREY LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(801) 359-8862
Mailing address
1631 S 1500 E, SALT LAKE CITY, UT 84105-2820
(919) 830-5153
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12125187-3502
UT
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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