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Organization

SOUTH DISTRICT TWENTY-EIGHT

Active
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Organization

SOUTH DISTRICT TWENTY-EIGHT

Active
Other names
South Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
AUDREY SOUTH LCSW (OWNER)
(385) 220-4751
Entity
Organization

Contact information

Practice address
1450 E 820 N, OREM, UT 84097-5481
(385) 220-4751
Mailing address
4005 DEVONSHIRE DR, PROVO, UT 84604-5372

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—

Other

Enumeration date
07/21/2021
Last updated
07/21/2021
About Stedi
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