Individual
MICHAEL HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1161 E LORRAINE DR, SALT LAKE CITY, UT 84106-2508
(801) 466-3535
Mailing address
1161 E LORRAINE DR, SALT LAKE CITY, UT 84106-2508
(801) 466-3535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7901158-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7901158-3501
DOPL
UT
Enumeration date
04/21/2016
Last updated
12/14/2021
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