Individual
MENDY MAGISTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 N MAIN ST, SPANISH FORK, UT 84660-9506
(801) 851-7689
Mailing address
3075 N MAIN ST, SPANISH FORK, UT 84660-9506
(801) 851-7689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5417244-3501
UT
Other
Enumeration date
02/25/2014
Last updated
03/04/2015
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