Organization
GOOD GROWTH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK ROBISON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(801) 725-2680
Entity
Organization
Contact information
Practice address
735 E 9000 S STE 100, SANDY, UT 84094-3089
(801) 725-2680
Mailing address
PO BOX 575, MIDVALE, UT 84047-0550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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