DEREK PAUL DAVIS

PROVO, UT
NPI1386624625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  139877-3501)
Enumeration Date2006-01-20
Last Update Date2019-06-28
Business Address
Mr. DEREK PAUL DAVIS LCSW
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4215
Mailing Address
Mr. DEREK PAUL DAVIS LCSW
PO BOX 270
PROVO, UT 84603-0270
Phone number: 801-344-4400