Individual
KASI MICHELLE GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
437 E 1000 S STE 200, PLEASANT GROVE, UT 84062-3623
(801) 921-3619
(801) 373-0639
Mailing address
3458 W 1420 N, PROVO, UT 84601-6206
(801) 636-5321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11168100-3502
UT
Other
Enumeration date
05/17/2019
Last updated
11/17/2024
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