Individual
JO LONNA LYNN BANGERTER FOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
60 S MAIN ST STE 101, BRIGHAM CITY, UT 84302-6794
(435) 224-3903
Mailing address
1121 BOX ELDER WAY, GARLAND, UT 84312-9789
(801) 792-6974
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7459428-3502
UT
1041C0700X
Clinical Social Worker
Primary
7459428-3502
UT
Other
Enumeration date
02/06/2014
Last updated
08/22/2024
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