Individual
KAELIE NOEL LEMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 N FREEDOM BLVD STE 10B, PROVO, UT 84604-6906
(801) 900-6056
Mailing address
1675 N FREEDOM BLVD STE 10B, PROVO, UT 84604-6906
(801) 900-6056
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12310278-3902
UT
Other
Enumeration date
08/06/2017
Last updated
10/01/2024
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