DANIEL THOMAS HAYCOCK

SALT LAKE CITY, UT
NPI1376022103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  11251842-3502)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2018-08-13
Last Update Date2019-07-03
Business Address
DANIEL THOMAS HAYCOCK
715 E 3900 S STE 109
SALT LAKE CITY, UT 84107
Phone number: 801-878-0190
Mailing Address
DANIEL THOMAS HAYCOCK
715 E 3900 S STE 109
SALT LAKE CITY, UT 84107-2568
Phone number: 801-878-0190
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