ROBERT E BANTA

SANDY, UT
NPI1609000561
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  362807-3501)
Enumeration Date2009-05-06
Last Update Date2009-05-06
Business Address
Mr. ROBERT E BANTA LCSW
9160 S 300 W SUITE 22
SANDY, UT 84070-2655
Phone number: 801-716-0440
Mailing Address
Mr. ROBERT E BANTA LCSW
9160 S 300 W SUITE 22
SANDY, UT 84070-2655
Phone number: 801-716-0440
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