Individual
MISS KELLLIE JO MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 NORTH 200 WEST, PROVO, UT 84601
(801) 373-4760
Mailing address
750 N 200 E, SUITE 300, PROVO, UT 84606-1705
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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