Individual
KATRINA DESIREE HUNGARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 E 25TH ST STE 200, IDAHO FALLS, ID 83404-7523
(208) 991-4296
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-43415
ID
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/16/2018
Last updated
05/13/2024
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