Individual
MS. JOAN JOANN PERANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6822 E. 1000 S., FT. DUCHESNE, UT 84026-0160
(435) 722-5122
Mailing address
PO BOX 182, MYTON, UT 84052-0182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17723
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17723
LICENSED SOCIAL WORK
TX
Enumeration date
08/25/2006
Last updated
07/08/2007
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