DONAVAN DANIEL FAUCETTE

LOGAN, UT
NPI1518185768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  6729778-3501)
Enumeration Date2007-04-23
Last Update Date2009-08-25
Business Address
MR. DONAVAN DANIEL FAUCETTE LCSW
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Mailing Address
MR. DONAVAN DANIEL FAUCETTE LCSW
30 W 100 N
HYRUM, UT 84319-1214
Phone number: 435-764-2386
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