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Individual

MR. JAMES A TALIAFERRO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
44 N MEDICAL DR, SALT LAKE CITY, UT 84113-1105
(801) 584-8512
(801) 584-8579
Mailing address
4595 CLEARVIEW ST, SALT LAKE CITY, UT 84117-4503
(801) 998-8119

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140436-3501
UT

Other

Enumeration date
05/05/2006
Last updated
07/08/2007
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