Individual
GRACE BERRY MAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.S.W.
Contact information
Practice address
1801 W BAMBERGER DR, RIVERTON, UT 84065-7537
(385) 309-2229
Mailing address
5824 S HOLSTEIN WAY, MURRAY, UT 84107-6542
(385) 309-2229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14291702-3502
UT
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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