Individual
MACKENZIE QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 N 1200 W, OREM, UT 84057-2445
(801) 229-1181
Mailing address
1255 N 1200 W, OREM, UT 84057-2445
(801) 229-1181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9717223-3501
UT
Other
Enumeration date
06/23/2020
Last updated
08/16/2022
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