Joellyn Orcutt Manville, MSW, LCSW

NPI #1003186438 in Slc, Utah

Provider Information

NPI Number: 1003186438
Entity Type: Individual
Name: Joellyn Orcutt Manville, MSW, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Jan 2, 2012
Last Updated: May 31, 2012

Practice Location

Address: 275 E SOUTH TEMPLE
Address 2: STE 202
City: Slc
State: Utah
ZIP Code: 84111-1247
Phone: (801) 609-1055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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