Individual
MR. SAMUEL GREY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7766 BUCKBOARD DR, PARK CITY, UT 84098-5315
(801) 879-1444
Mailing address
7766 BUCKBOARD DR, PARK CITY, UT 84098-5315
(801) 879-1444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
05/01/2023
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