MICHAEL TED BOMAN

MAGNA, UT
NPI1508828930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  373112-3501)
Enumeration Date2006-04-03
Last Update Date2007-07-08
Business Address
Mr. MICHAEL TED BOMAN LCSW
3564 S 7200 W
MAGNA, UT 84044-3507
Phone number: 801-250-2909
Mailing Address
Mr. MICHAEL TED BOMAN LCSW
3564 S 7200 W
MAGNA, UT 84044-3507
Phone number: 801-250-2909