Individual
JOSHUA HENRICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9844 S 1300 E STE 250, SANDY, UT 84094-4691
(801) 810-5037
Mailing address
1794 S 800 E, SALT LAKE CITY, UT 84105-3142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11251843-3501
UT
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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