Individual
MEGAN KOMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10815 S 700 E # 300, SANDY, UT 84070-4702
(801) 867-3472
Mailing address
5004 W SARASOTA LN, HERRIMAN, UT 84096-1479
(801) 455-0150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8842906
UT
Other
Enumeration date
07/14/2014
Last updated
10/09/2020
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