Dominique Badura

NPI #1952850018 in Provo, Utah

Provider Information

NPI Number: 1952850018
Entity Type: Individual
Name: Dominique Badura
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - School
Enumeration Date: Sep 29, 2016
Last Updated: Jan 24, 2017

Practice Location

Address: 1726 BUCKLEY DRIVE
City: Provo
State: Utah
ZIP Code: 84606
Phone: (801) 373-6562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X	Primary
Community Health Worker	172V00000X
Case Manager/Care Coordinator	171M00000X

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