Individual
DANIEL CHRISTOPHER DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
625 E 8400 S, SANDY, UT 84070-0525
(801) 566-2556
Mailing address
625 E 8400 S, SANDY, UT 84070-0525
(801) 566-2556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5758211-3501
UT
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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