Individual
MYRNA HERMANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5965 S 900 E, MURRAY, UT 84121-1720
(801) 263-7138
Mailing address
5965 S 900 E, MURRAY, UT 84121-1720
(801) 263-7138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
313961-3501
UT
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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