PAGE MARC BOWLER

PROVO, UT
NPI1619353885
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  7667381-3502)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
104100000X Social Worker
(Licence: UT  76673813503)
Enumeration Date2015-08-10
Last Update Date2021-05-26
Business Address
PAGE MARC BOWLER CSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
PAGE MARC BOWLER CSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760