Individual
MADISON STEPHENS CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13412574-3502
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/31/2022
Last updated
04/09/2024
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