Individual
KATELYN W OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
6405 OLD MAIN HILL, LOGAN, UT 84322-6405
(435) 797-0576
(844) 308-5865
Mailing address
6405 OLD MAIN HILL, LOGAN, UT 84322-6405
(435) 797-0576
(844) 308-5865
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11187391-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447715701
CLINIC NPI
UT
Enumeration date
11/20/2019
Last updated
11/20/2019
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