Organization
FIRST WATCH WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE MANNOR (EXECUTIVE DIRECTOR)
(801) 707-8282
Entity
Organization
Contact information
Practice address
13867 S BANGERTER PKWY STE 201, DRAPER, UT 84020-5318
(877) 225-5443
Mailing address
PO BOX 1078, DRAPER, UT 84020-1008
(877) 225-5443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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