DEISY SAM

PROVO, UT
NPI1164033510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-08-10
Last Update Date2024-08-08
Business Address
DEISY SAM
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
DEISY SAM
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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