Wasatch Front Trail Venture

NPI #1407464886 in Genola, Utah

Provider Information

NPI Number: 1407464886
Entity Type: Organization
Organization Name: Wasatch Front Trail Venture
Primary Specialty: Social Worker
Enumeration Date: Jul 21, 2020
Last Updated: Jul 21, 2020

Practice Location

Address: 61 E 1600 N
City: Genola
State: Utah
ZIP Code: 84655-5090
Phone: (435) 513-2715

Authorized Official

Name: MORGAN GONZALES, LCSW
Title: PROVIDER
Phone: (435) 513-2715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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