Individual
MACKENZIE PABST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 W 260 N, OREM, UT 84057
(801) 221-9930
Mailing address
475 W 260 N, OREM, UT 84057
(801) 221-9930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11029170-3501
UT
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2015
Last updated
12/15/2020
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