# JOELLYN ORCUTT MANVILLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003186438
- **Gender:** F
- **Credential:** MSW, LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 62205833501 | UT | Yes |

## Other

- **Enumeration date:** 01/02/2012
- **Last updated:** 05/31/2012