| Kolob Therapeutic Services | |
|
437 S Bluff St Ste 202 St George UT 84770-3555 | |
| (435) 674-4464 | |
| Not Available |
| Full Name | Kolob Therapeutic Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 437 S Bluff St Ste 202, St George, Utah |
| Authorized Official Name and Position | Martha Ham (DIRECTOR) |
| Authorized Official Contact | 4356744464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kolob Therapeutic Services 437 S Bluff St Ste 202 St George UT 84770-3555 Ph: (435) 674-4464 | Kolob Therapeutic Services 437 S Bluff St Ste 202 St George UT 84770-3555 Ph: (435) 674-4464 |
| NPI Number | 1275800823 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 11/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275800823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1397173501 (Utah) | Primary |
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