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Search › Utah › 101Y00000X

Marilee Vanwagenen, LCSW

NPI 1639630916 · on the registry since 2019 · sole proprietor

Practice

Address
151 S University Ave Ste 3200
Provo, UT 84601
Phone
(801) 851-7128
Organisation at this address
Utah County
Utah County Government
Utah County Division Of Substance Abuse
Utah County Department Of Drug And Alcohol Prevention And Treatment
Inferred from a shared address, not stated in the registry.
Clinicians at this address
100

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah