Individual
DONNA JOANNE MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
68 E ZINFANDEL LN, VINEYARD, UT 84059-2628
(801) 306-7891
Mailing address
68 E ZINFANDEL LN, VINEYARD, UT 84059-2628
(801) 306-7891
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13407735-3502
UT
1041C0700X
Clinical Social Worker
Primary
13407735-3501
UT
Other
Enumeration date
05/18/2024
Last updated
04/10/2026
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