Individual
JOHN L WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
134 W 1180 N, SUITE 4, TOOELE, UT 84074-1483
(435) 817-8228
Mailing address
PO BOX 872, GRANTSVILLE, UT 84029-0872
(435) 817-8228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6338616-3501
UT
Other
Enumeration date
08/15/2011
Last updated
05/19/2016
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