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Individual

AUTUMN JAAH HOLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30 W MEDICAL DR, MONUMENT VALLEY, UT 84536-7705
(928) 660-3373
Mailing address
30 W MEDICAL DR, MONUMENT VALLEY, UT 84536-7705
(928) 660-3373

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12309988-3501
UT

Other

Enumeration date
05/15/2026
Last updated
05/15/2026
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