Individual
MAKENNA ROSE WOERNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 W GENTILE ST, LAYTON, UT 84041-7210
(801) 485-8051
Mailing address
1652 S 250 W APT J112, OGDEN, UT 84404
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD007462J
DRIVERS LICENSE
ID
Enumeration date
08/09/2022
Last updated
08/09/2022
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