Individual
PHIL K EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
6771 S 900 E, MIDVALE, UT 84047
(801) 386-9799
Mailing address
6771 S 900 E, MIDVALE, UT 84047-1436
(801) 386-9799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10853088-3502
UT
Other
Enumeration date
09/18/2017
Last updated
08/07/2018
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