Individual
CODY JOHN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1459 N MAIN ST, BOUNTIFUL, UT 84010-6092
(801) 298-2000
Mailing address
288 W 160 N, CLEARFIELD, UT 84015-3201
(385) 333-8456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10859961-3502
UT
Other
Enumeration date
07/14/2018
Last updated
07/14/2018
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