Individual
MAGGIE ANGELA HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDC
Contact information
Practice address
286 S 600 E, PROVO, UT 84606
(801) 850-4307
Mailing address
286 S 600 E, PROVO, UT 84606-4779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9551903-6005
UT
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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