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Danielle Gandola

Social Worker in Provo, UT. Individual provider (NPI-1).

NPI number1164081592
StatusActive
Last updated in NPPESApr 4, 2024

Details

NPI
1164081592
Entity type
Individual (NPI-1)
Name
Danielle Gandola
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2019
Certification date
Apr 4, 2024
Last updated
Apr 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Phone 801-373-4760 · Fax 801-373-0639

Mailing address

750 N Freedom Blvd
Provo, UT 84601-1677

Phone 801-373-4760 · Fax 801-373-0639

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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