Individual
CAILEY MICHELE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-8835
Mailing address
5243 W 6600 S, WEST JORDAN, UT 84081-4413
(801) 635-9904
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
10107124-3502
UT
Other
Enumeration date
07/19/2017
Last updated
05/18/2022
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