Individual
MRS. AUBREY T VAN ORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
490 E 100 N, MANTI, UT 84642-1116
(435) 851-9613
Mailing address
490 EAST 100 NORTH, MANTI, UT 84642
(435) 851-9613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8601498-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235458555
—
UT
Enumeration date
06/11/2013
Last updated
06/11/2013
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