Individual
LOTHAIR WILLIAM PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
14241 S REDWOOD RD, SUITE # 100, BLUFFDALE, UT 84065-5211
(801) 816-1801
(801) 501-0249
Mailing address
248 E 13800 S, SUITE #4, DRAPER, UT 84020-5010
(801) 816-1801
(801) 501-0249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
135945-3501
UT
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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