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Individual

MS. KATHERINE SANTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
750 N 200 W STE 300, PROVO, UT 84601-1690
(801) 373-4760
Mailing address
750 N 200 W STE 300, PROVO, UT 84601-1690
(801) 373-4760

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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