Individual
DAINE BARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 W 6200 S, TAYLORSVILLE, UT 84129-3725
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14017207-6004
UT
101YM0800X
Mental Health Counselor
MH19582
FL
Other
Enumeration date
08/28/2020
Last updated
11/04/2024
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