MR. Michael Ted Boman, LCSW

NPI #1508828930 in Magna, Utah

Provider Information

NPI Number: 1508828930
Entity Type: Individual
Name: MR. Michael Ted Boman, LCSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3564 S 7200 W
City: Magna
State: Utah
ZIP Code: 84044-3507
Phone: (801) 250-2909

Specialties & Taxonomy Codes

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

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