Individual
MS. HOLLY TILEAHROSE PATTERSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSWI
Contact information
Practice address
244 W 520 N, OREM, UT 84057-4695
(801) 225-4027
Mailing address
244 W 520 N, OREM, UT 84057-4695
(801) 709-3733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9481363-3501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2013
Last updated
08/09/2021
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