Individual
KARA MCRAE DURACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 N 900 E, PROVO, UT 84604-3536
(385) 201-5427
Mailing address
244 E 510 N, VINEYARD, UT 84059-6552
(385) 450-2664
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
12468560-2501
UT
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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