Provider Demographics
NPI:1831774876
Name:BROWN, HAROLD CALL (CSW)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:CALL
Last Name:BROWN
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 SUNSET DUNES WAY
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-5676
Mailing Address - Country:US
Mailing Address - Phone:801-910-1492
Mailing Address - Fax:
Practice Address - Street 1:1420 WEST 12600 SOUTH
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065
Practice Address - Country:US
Practice Address - Phone:801-254-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker