Madeline Claude
Social Worker, Clinical in Centerville, UT. Individual provider (NPI-1).
NPI number1053967752
StatusActive
Last updated in NPPESSep 27, 2022
Details
- NPI
- 1053967752
- Entity type
- Individual (NPI-1)
- Name
- Madeline Claude
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2019
- Certification date
- Sep 27, 2022
- Last updated
- Sep 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 11792012-3501 | UT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
520 N Market Place DrCenterville, UT 84014-4901
Phone 801-934-3373
Mailing address
520 N Market Place DrCenterville, UT 84014-4901
Phone 801-934-3373
Other practice locations
750 N Freedom Blvd
Provo, UT 84601-1677
Provo, UT 84601-1677
Phone 801-373-4760 · Fax 801-373-0639
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