Individual
KATIE OLSEN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3280 W 3500 S STE E, WEST VALLEY, UT 84119-2668
(803) 403-6607
Mailing address
3280 W 3500 S STE E, WEST VALLEY, UT 84119-2668
(801) 979-1351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12122156-3502
UT
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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