Individual
GRACEN VANDERMEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
347 N 300 W STE 201A, KAYSVILLE, UT 84037-1828
(385) 231-8387
Mailing address
4947 S 3900 W, ROY, UT 84067-8635
(385) 206-2618
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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