Individual
MELE ETSITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 373-4760
(801) 373-0639
Mailing address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 373-4760
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13778099-3503
UT
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
01/22/2024
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