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Susan Michelle Bollow, LCSW

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

NPI number1275769259
StatusActive
Last updated in NPPESSep 6, 2024

Details

NPI
1275769259
Entity type
Individual (NPI-1)
Name
Susan Michelle Bollow
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2009
Certification date
Sep 6, 2024
Last updated
Sep 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical7046059-3502UTYes

Other names

  • Susan Michelle Thorn (Former Name)

Practice location

4434 S Highland Dr
Millcreek, UT 84124-3533

Phone 385-321-3109

Mailing address

2734 E Canton Ln
Sandy, UT 84092-7125

Phone 801-574-7077

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