Individual
MR. GARRETT VINCENT CIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6000 S 1075 E, SOUTH OGDEN, UT 84405-4945
(801) 479-7035
(801) 479-9268
Mailing address
846 E 5600 S, SOUTH OGDEN, UT 84405-4903
(801) 828-0636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10150750-3501
UT
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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