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NPI Code Detail

MEDICARE: KATIE L JULANDER LCSW

MEDICARE:   KATIE L JULANDER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker7027165-3501UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1260022408OTHERUTRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154514792
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE L JULANDER LCSW
Provider Business Mailing Address
First Line : 1029 W 8150 S
Second Line :
City : WILLARD
State : UT
Zip : 84340-6708
Country : US
Telephone Number : 801-644-9678
Fax Number :
Provider Business Practice Location Address
First Line : 1133 N MAIN ST STE 127
Second Line :
City : LAYTON
State : UT
Zip : 84041-4830
Country : US
Telephone Number : 385-298-7185
Fax Number : 801-315-5563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2007
Last Update Date : 07/21/2022

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Directions to “ KATIE L JULANDER LCSW” Practice Location

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