Individual
TYLER HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11260 S RIVER HEIGHTS DR, SOUTH JORDAN, UT 84095-5119
(385) 308-8403
Mailing address
11260 S RIVER HEIGHTS DR, SOUTH JORDAN, UT 84095-5119
(385) 308-8403
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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