B. SHANE HARMON

RIVERDALE, UT
NPI1700882172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  141805-3501)
Enumeration Date2005-06-21
Last Update Date2007-07-27
Business Address
Mr. B. SHANE HARMON LCSW
5149 S 1500 W
RIVERDALE, UT 84405-3926
Phone number: 801-475-0402
Mailing Address
Mr. B. SHANE HARMON LCSW
5149 S 1500 W
RIVERDALE, UT 84405-3926
Phone number: 801-475-0402
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