Individual
MR. PATRICK MICHAEL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSW
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
Mailing address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
364119-3503
UT
Other
Enumeration date
03/03/2011
Last updated
11/20/2013
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