Individual
MAXWELL MARSHALL MOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
249 RODEO DR, SPRINGVILLE, UT 84663-9472
(801) 232-4942
Mailing address
249 RODEO DR, SPRINGVILLE, UT 84663-9472
(801) 232-4942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10746042-3501
UT
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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