Individual
JOHN CAL FOTHERINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSWI
Contact information
Practice address
5667 S REDWOOD RD UNIT 6B, TAYLORSVILLE, UT 84123-5495
(801) 979-1351
Mailing address
1749 E MOUNTAIN CREST DR, DRAPER, UT 84020-8870
(801) 571-3579
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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