Individual
MALINDA JO FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5242 S 4820 W, KEARNS, UT 84118-6422
(801) 747-9257
Mailing address
5242 S 4820 W, KEARNS, UT 84118-6422
(801) 747-9257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8650416-6009
UT
Other
Enumeration date
07/18/2013
Last updated
01/15/2015
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