Jonathan Hale

NPI #1275943540 in Slc, Utah

Provider Information

NPI Number: 1275943540
Entity Type: Individual
Name: Jonathan Hale
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 7, 2014
Last Updated: May 7, 2014

Practice Location

Address: 344 E 100 S
Address 2: STE 301
City: Slc
State: Utah
ZIP Code: 84111-1700
Phone: (801) 322-4257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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