Individual
HANNAH BEATRICE GRUNDVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3355 N UNIVERSITY AVE STE 250, PROVO, UT 84604-6640
(801) 341-9066
Mailing address
80 W 880 N APT 6, PROVO, UT 84604-5170
(408) 460-3575
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12436087-3904
UT
Other
Enumeration date
01/02/2022
Last updated
01/02/2022
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