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NPI Code Detail

MEDICARE: GALLOP TO GROWTH

MEDICARE: GALLOP TO GROWTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1932985983
Entity Type Code : Organization
Provider Name (Legal Business Name) : GALLOP TO GROWTH
Provider Business Mailing Address
First Line : 2825 E COTTONWOOD PKWY STE 500
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-7060
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2825 E COTTONWOOD PKWY STE. 500
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-7060
Country : US
Telephone Number : 385-347-0757
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JAMES CHRISTOPHER FINCH
Credential : LCSW
Telephone Number : 808-936-3807
Provider Enumeration Date : 09/06/2023
Last Update Date : 09/06/2023

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Directions to “GALLOP TO GROWTH ” Practice Location

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