is a Clinical in Provo, Utah. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1659482560. The last update date is .
's current location address is 750 Noth 200 West, Provo, Utah. You can contact this provider via phone number 8013734760 and fax number 8013730639. The mailing address for is 750 Noth 200 West, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 750 Noth 200 West, Provo, Utah |
| Phone Number | 8013734760 |
| Fax Number | 8013730639 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1659482560 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 750 Noth 200 West |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 84601 |
| Phone Number | 8013734760 |
| Fax Number | 8013730639 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 52384623501 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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