Individual
DEREK THOMAS BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
291 S 200 W, FARMINGTON, UT 84025-2419
(801) 451-7799
(801) 451-6331
Mailing address
PO BOX 689, FARMINGTON, UT 84025-0689
(801) 451-7799
(801) 451-6331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4950278-3501
UT
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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