Individual
MRS. KIMBERLY MICHELLE AVALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
433 S 500 E, AMERICAN FORK, UT 84003-2527
(801) 216-8000
Mailing address
1285 FIREFLY DR, SPANISH FORK, UT 84660-5517
(480) 242-4992
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6947159-3502
UT
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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