Individual
DUSTIN E GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9140 S STATE ST STE 201, SANDY, UT 84070-2694
(385) 645-4593
Mailing address
9140 S STATE ST STE 201, SANDY, UT 84070-2694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
116635-01
NY
1041C0700X
Clinical Social Worker
Primary
13897520-3501
UT
Other
Enumeration date
06/29/2022
Last updated
11/22/2024
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