NATHAN BRENT SHAW

SOUTH JORDAN, UT
NPI1437931391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  14290543-3502)
Enumeration Date2023-10-16
Last Update Date2026-06-08
Business Address
NATHAN BRENT SHAW
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095-5519
Phone number: 801-302-3801
Mailing Address
NATHAN BRENT SHAW
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095-5519
Phone number: 801-302-3801