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Individual

MR. SAMUEL LAURENCE MCGAUHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Mailing address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
75249
CA
1041C0700X
Clinical Social Worker

Other

Enumeration date
06/28/2013
Last updated
05/10/2024
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