Individual
THOMAS CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 N GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
Mailing address
73 W PLUMTREE LN APT 13E, MIDVALE, UT 84047-1119
(703) 507-0166
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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