J Manuel De La Torre INC

NPI #1164586061 in Slc, Utah

Provider Information

NPI Number: 1164586061
Entity Type: Organization
Organization Name: J Manuel De La Torre INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 22, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1579 W 6005
City: Slc
State: Utah
ZIP Code: 84104-2512
Phone: (801) 973-0655

Authorized Official

Name: MR. JESUS MANUEL DE LA TORRE, LCSW
Title: PRESIDENT OWNER
Phone: (801) 973-0655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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