Individual
MARY KAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 EAST 300 SOUTH, CASTLE DALE, UT 84513-0223
(435) 381-5607
Mailing address
PO BOX 223, CASTLE DALE, UT 84513-0223
(435) 381-5607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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