Individual
MADELINE CLAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N MARKET PLACE DR, CENTERVILLE, UT 84014-4901
(801) 934-3373
Mailing address
520 N MARKET PLACE DR, CENTERVILLE, UT 84014-4901
(801) 934-3373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11792012-3501
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/18/2019
Last updated
09/27/2022
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