Individual
MRS. EJA PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 S OREM BLVD, OREM, UT 84058-5011
(801) 062-3677
Mailing address
1955 N 550 W APT 401, PROVO, UT 84604-1440
(801) 916-4718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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