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321 N Mall Dr Ste R Saint George UT 84790-7302 | |
| (435) 773-2063 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 321 N Mall Dr, Saint George, Utah |
| Authorized Official Name and Position | Ryan Christiansen (LCSW) |
| Authorized Official Contact | 4357732063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
321 N Mall Dr Ste R Saint George UT 84790-7302 Ph: (435) 773-2063 | 321 N Mall Dr Ste R Saint George UT 84790-7302 Ph: (435) 773-2063 |
| NPI Number | 1275963746 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 12/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275963746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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