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Katherine Johnson, ICRC/AODA
NPI 1952613267 · on the registry since 2010
Practice
- Address
- 185 E 400 N
Spanish Fork, UT 84660 - Phone
- (801) 669-8032
- Fax
- (801) 850-9354
- Organisation at this address
- Haven Home For Girls
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-07-02
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