Individual
MISS KAYLEE AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S 1500 E, PROVO, UT 84606-5330
(808) 754-8480
Mailing address
525 S 1500 E, PROVO, UT 84606-5330
(808) 754-8480
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
104100000X
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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