Individual
MRS. MEGAN MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
1859 W CHATEAU AVE, TAYLORSVILLE, UT 84129-1313
(801) 996-3981
Mailing address
1859 W CHATEAU AVE, TAYLORSVILLE, UT 84129-1313
(801) 996-3981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6768039-3503
UT
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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