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Individual

MAKELLE ISRAELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
2192 S 1450 W, WELLSVILLE, UT 84339-6733
(435) 363-5322

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12927551-3503
UT

Other

Enumeration date
07/11/2022
Last updated
07/11/2022
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