Individual
BROCK S HOWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
791 N 2300 W, TREMONTON, UT 84337-9331
(801) 910-9412
Mailing address
134 W 1180 N, TOOELE, UT 84074-1483
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
85915933501
UT
Other
Enumeration date
09/04/2012
Last updated
08/15/2024
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