DERECK HUGH GONZALEZ

PROVO, UT
NPI1689248205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  12883692-3502)
Enumeration Date2021-05-18
Last Update Date2022-10-20
Business Address
Mr. DERECK HUGH GONZALEZ CSW
34 S 300 E
PROVO, UT 84606-3201
Phone number: 801-850-9147
Mailing Address
Mr. DERECK HUGH GONZALEZ CSW
34 S 300 E
PROVO, UT 84606-3201
Phone number: 801-850-9147
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