Wasatch Back Venture Trail

NPI #1407466089 in Provo, Utah

Provider Information

NPI Number: 1407466089
Entity Type: Organization
Organization Name: Wasatch Back Venture Trail
Primary Specialty: Social Worker
Enumeration Date: Aug 7, 2020
Last Updated: Aug 7, 2020

Practice Location

Address: 3585 N UNIVERSITY AVE STE 250
City: Provo
State: Utah
ZIP Code: 84604-6622
Phone: (435) 513-2715

Authorized Official

Name: MEGAN PERRY
Title: OWNER
Phone: (435) 513-2715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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