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Individual

CASEY PAUL FIFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
862 S MAIN, SUITE 4, BRIGHAM CITY, UT 84302
(435) 754-4735
Mailing address
9045 S 1300 E STE 200, SANDY, UT 84094-3134
(801) 666-6834

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
Primary
10590005-3502
UT

Other

Enumeration date
06/17/2014
Last updated
10/23/2020
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