Individual
MRS. JUSTYN HASKELL MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
JUSTYN MANLEY
Contact information
Practice address
1912 SIDEWINDER DR STE 201, PARK CITY, UT 84060-7257
(435) 640-1327
Mailing address
8947 N PROMONTORY RIDGE DR, PARK CITY, UT 84098-5786
(435) 640-1327
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8262078-3502
UT
1041C0700X
Clinical Social Worker
Primary
8262078-3501
UT
Other
Enumeration date
09/09/2010
Last updated
06/28/2019
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