Individual
DENISE MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 RIO GRANDE PL, WEST JORDAN, UT 84088-9523
(801) 466-4484
Mailing address
1 RIO GRANDE PL, WEST JORDAN, UT 84088-9523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
343679-6004
UT
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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