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Individual

MR. MACK TARVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115-5218
(801) 678-3317
Mailing address
235 E RIGDON AVE, SALT LAKE CITY, UT 84115-4818
(801) 718-5881

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/17/2017
Last updated
03/17/2018
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