Individual
KATIE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
169 N GATEWAY DR STE 110, PROVIDENCE, UT 84332-9728
(435) 760-7763
Mailing address
169 N GATEWAY DR STE 110, PROVIDENCE, UT 84332-9728
(435) 760-7763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13560965-3502
UT
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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