Individual
MR. KEEGAN TODD MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 N 1890 W STE 47A, PROVO, UT 84601-1326
(385) 335-4917
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10400040-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1072360
—
UT
Enumeration date
04/13/2016
Last updated
06/13/2024
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