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Individual

A MICHELLE JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3507 N UNIVERSITY AVE, SUITE 350, PROVO, UT 84604
(801) 434-8803
(801) 384-0780
Mailing address
3507 N UNIVERSITY AVE, SUITE 350, PROVO, UT 84604-4478
(801) 434-8803
(801) 384-0780

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4792258-3501
UT

Other

Enumeration date
11/29/2006
Last updated
03/26/2014
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