Angela Michelle Mesenburg, INTERN

NPI #1093288029 in Slc, Utah

Provider Information

NPI Number: 1093288029
Entity Type: Individual
Name: Angela Michelle Mesenburg, INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: INTERN
Enumeration Date: Jan 2, 2019
Last Updated: Aug 5, 2019

Practice Location

Address: 1020 S MAIN ST
City: Slc
State: Utah
ZIP Code: 84101-3176
Phone: (801) 539-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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