Organization
WASATCH BACK VENTURE TRAIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN PERRY (OWNER)
(435) 513-2715
Entity
Organization
Contact information
Practice address
3585 N UNIVERSITY AVE STE 250, PROVO, UT 84604-6622
(435) 513-2715
Mailing address
3585 N UNIVERSITY AVE STE 250, PROVO, UT 84604-6622
(435) 513-2715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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