Individual
HANNAH MAE DUBOSE-HARTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3002 S 5990 W, WEST VALLEY CITY, UT 84128-7072
(801) 859-9665
Mailing address
3002 S 5990 W, WEST VALLEY CITY, UT 84128-7072
(801) 859-9665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5216690-3502
UT
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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