Individual
PARKER DEVITRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
525 E 100 S, SALT LAKE CITY, UT 84102-4210
(801) 587-3000
Mailing address
796 E 500 S UNIT 201, AMERICAN FORK, UT 84003-3073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9697226-3503
UT
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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