Organization
C.HAKES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS COREY HAKES LCSW (MANAGING MAMBER)
(801) 414-3252
Entity
Organization
Contact information
Practice address
50 N MAIN ST, TOOELE, UT 84074-2139
(801) 414-3252
(801) 733-4083
Mailing address
50 N MAIN ST, TOOELE, UT 84074-2139
(801) 414-3252
(801) 733-4083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03694893501
UT
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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