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Individual

MICHAEL JARED WARDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 792-6500
Mailing address
195 S 1130 E, HYRUM, UT 84319-1130
(435) 713-5152

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11919342-3502
UT

Other

Enumeration date
12/10/2020
Last updated
04/22/2024
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