Individual
DAVE CALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9160 S 300 W STE 3, SANDY, UT 84070-2656
(801) 671-0765
Mailing address
356 APPLE LEAF AVE, KAYSVILLE, UT 84037-5005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7218184-3501
UT
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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