MIKE J PICKETT

PLEASANT GROVE, UT
NPI1194077834
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  5683720-3502)
Enumeration Date2012-10-04
Last Update Date2012-10-04
Business Address
-- MIKE J PICKETT CSW
457 E 1000 S
PLEASANT GROVE, UT 84062-3623
Phone number: 801-785-3735
Mailing Address
-- MIKE J PICKETT CSW
457 E 1000 S
PLEASANT GROVE, UT 84062-3623
Phone number: 801-785-3735