Most Relevant Information
Provider Data
| NPI Number: | 1003331968 |
| Provider Name: | DALTON BOLEY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/11/2017 |
| Last Updated: | 07/14/2021 |
Provider Practice Location
150 S 400 E
AMERICAN FORK
UT
840032510
Practice Location Phone/Fax
| Phone: | 8019841717 |
| Fax: |
Provider Mailing Location
613 E FORT UNION BLVD STE 104
MIDVALE
UT
840475531
Provider Mailing Phone/Fax
| Phone: | 8019841717 |
| Fax: |