Whitney Thurgood Israelsen

NPI #1982952610 in Logan, Utah

Provider Information

NPI Number: 1982952610
Entity Type: Individual
Name: Whitney Thurgood Israelsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 28, 2012
Last Updated: Dec 1, 2014

Practice Location

Address: 655 E 1300 N
City: Logan
State: Utah
ZIP Code: 84341
Phone: (435) 792-6491

Specialties & Taxonomy Codes

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

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