Individual
MELINDA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
885 W BAXTER DR, SOUTH JORDAN, UT 84095-8506
(801) 599-5119
Mailing address
11883 S POULTRY DR, DRAPER, UT 84020-6812
(801) 599-5119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
379066-3501
UT
Other
Enumeration date
03/18/2016
Last updated
04/06/2019
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