Individual
MARY CRASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1344 W STATE RD, PLEASANT GROVE, UT 84062-5022
(801) 785-8870
Mailing address
1344 W STATE RD, PLEASANT GROVE, UT 84062-5022
(801) 785-8870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
77488083904
UT
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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