Individual
PAUL W GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2520 N UNIVERSITY AVE STE 100, PROVO, UT 84604-3819
(385) 567-4063
Mailing address
1125 W CENTER ST, OREM, UT 84057-5207
(801) 903-5903
(801) 515-0935
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1358183501
UT
Other
Enumeration date
11/25/2006
Last updated
11/16/2022
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