Christopher Clark Hawk, LCSW
Social Worker, Clinical in Mount Pleasant, UT. Individual provider (NPI-1).
NPI number1669948899
StatusActive
Last updated in NPPESOct 15, 2018
Details
- NPI
- 1669948899
- Entity type
- Individual (NPI-1)
- Name
- Christopher Clark Hawk
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2018
- Last updated
- Oct 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5331963-3501 | UT | Yes |
Practice location
120 S 100 WMount Pleasant, UT 84647-1509
Phone 435-659-9294
Mailing address
Po Box 581074Salt Lake City, UT 84158-1074
Phone 435-659-9294
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