Individual
MR. JONATHAN M CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
87 S 1030 E, SANTAQUIN, UT 84655-5698
(801) 859-8832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8960489-3501
UT
Other
Enumeration date
05/07/2013
Last updated
02/04/2021
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