Individual
FLORENTINO QUICIO HOPOATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
750 N 200 W, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N 200 W, PROVO, UT 84601-1677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5997048-3502
UT
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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