Individual
PHOEBE KUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
556 N 500 E, OREM, UT 84097-4126
(808) 392-1263
Mailing address
556 N 500 E, OREM, UT 84097-4126
(808) 392-1263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9798528-3501
UT
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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