DOUGLAS LYNN WHITTAKER

MIDVALE, UT
NPI1730165978
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  126368-3501)
Enumeration Date2005-12-20
Last Update Date2007-07-08
Business Address
DOUGLAS LYNN WHITTAKER LCSW
7434 S STATE ST
MIDVALE, UT 84047-2014
Phone number: 801-566-4423
Mailing Address
DOUGLAS LYNN WHITTAKER LCSW
4084 FOUBERT AVE
SALT LAKE CITY, UT 84124-3411
Phone number: 801-278-7453
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