Individual
MR. ANTHONY JEROME CHRISTOPHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
THERAPIST
Contact information
Practice address
2450 E FT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121-3337
(801) 428-3402
Mailing address
68 S 600 E, SALT LAKE CITY, UT 84102-1007
(801) 322-1001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10836743-3502
UT
Other
Enumeration date
06/10/2010
Last updated
02/02/2022
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