Organization
WASATCH FRONT TRAIL VENTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN GONZALES LCSW (PROVIDER)
(435) 513-2715
Entity
Organization
Contact information
Practice address
61 E 1600 N, GENOLA, UT 84655-5090
(435) 513-2715
Mailing address
61 E 1600 N, GENOLA, UT 84655-5090
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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