Individual
JOHN CHRISTIAN PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1459 N MAIN ST # 100, BOUNTIFUL, UT 84010-6092
(801) 298-2000
Mailing address
1459 N MAIN ST # 100, BOUNTIFUL, UT 84010-6092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11305293
UT
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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