B. Shane Harmon Lcsw, LLC

NPI #1326326273 in Riverdale, Utah

Provider Information

NPI Number: 1326326273
Entity Type: Organization
Organization Name: B. Shane Harmon Lcsw, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 26, 2011
Last Updated: Jul 26, 2011

Practice Location

Address: 5149 S 1500 W
City: Riverdale
State: Utah
ZIP Code: 84405-3926
Phone: (801) 475-0402

Authorized Official

Name: MR. B. SHANE HARMON, LCSW
Title: MANAGER
Phone: (801) 475-0402

Specialties & Taxonomy Codes

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

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