Randolph Day Glasscock SSW

NPI 1124127709 - Social Worker - 104100000X

NPI Details
NPI 1124127709
Gender Male
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
750 N FREEDOM BLVD
PROVO UT, 84601-1677, US
Phone (801) 373-4760
Fax
Business Location
750 N FREEDOM BLVD
PROVO UT, 84601-1677, US
Phone (801) 373-4760
Fax
Toxanomy
Taxonomy Code 104100000X
License State Utah
License Number 140829-3503
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According to our database, Randolph Day Glasscock SSW NPI is 1124127709, taxonomy code is 104100000X and license number is 140829-3503, license state is located at Utah. Randolph Day Glasscock SSW physically located at 750 N Freedom Blvd, Provo UT, 84601-1677. NPI Number Randolph Day Glasscock SSW has the Individual type.

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1124127709 NPI number is provided on an as is basis without warranty of any kind. 1124127709 is maintained by the National Plan & Provider Enumeration System. The contents of Randolph Day Glasscock SSW are for informational purposes only.