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Individual

MILINDA K HUDNALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1190 N 900 E # 204, PROVO, UT 84604-3536
(801) 422-7620
Mailing address
1349 LAKEVIEW DR, PROVO, UT 84604-2937
(801) 400-2121

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4792545-3501
UT

Other

Enumeration date
05/01/2008
Last updated
11/20/2009
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