Individual
CODY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
850 WESTBROOK RD, KAYSVILLE, UT 84037-1552
(801) 349-5244
Mailing address
850 WESTBROOK RD, KAYSVILLE, UT 84037-1552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9177264-3501
UT
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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