Individual
PATRICIA H. FJELDSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W 1400 N, SUITE A, LOGAN, UT 84341-6811
(435) 752-5302
Mailing address
175 W 1400 N, SUITE A, LOGAN, UT 84341-6811
(435) 752-5302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9068996-3501
UT
Other
Enumeration date
10/04/2013
Last updated
05/06/2020
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