Individual
MAEGEN BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
855 HERITAGE PARK BLVD STE 3, LAYTON, UT 84041-5732
(801) 447-1015
(801) 447-1035
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12472382-3501
UT
Other
Enumeration date
10/16/2023
Last updated
09/12/2024
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