Individual
MADELEINE SUSANNA HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
7750 S 300 E, MIDVALE, UT 84047-2725
(801) 696-7436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
05/27/2022
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