Individual
MICAELA HARLEY KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 E 300 N, SPANISH FORK, UT 84660-1859
(208) 240-7178
Mailing address
42 E 300 N, SPANISH FORK, UT 84660-1859
(208) 240-7178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
UT
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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