JUSTIN ALLEN NORTHWAY

WEST VALLEY, UT
NPI1811464589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  6377910-3501)
Enumeration Date2018-10-30
Last Update Date2018-12-12
Business Address
JUSTIN ALLEN NORTHWAY
2948 S REDWOOD RD
WEST VALLEY, UT 84119-2323
Phone number: 888-949-4864
Mailing Address
JUSTIN ALLEN NORTHWAY
PO BOX 572070
MURRAY, UT 84157-2070
Phone number: 801-263-7100