Individual
CODY MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1429 S 550 E, OREM, UT 84097-7793
(385) 449-0150
Mailing address
619 N 500 W, PROVO, UT 84601-1547
(801) 375-4240
(801) 375-4241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
10/30/2019
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