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NPI Code Detail

MEDICARE: MALIA ARNELL LCSW

MEDICARE:   MALIA  ARNELL  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 Worker11341359-3501UT

General Provider Information

NPI Number : 1215639018
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALIA ARNELL LCSW
Provider Business Mailing Address
First Line : 280 E 1400 N
Second Line :
City : MAPLETON
State : UT
Zip : 84664-3853
Country : US
Telephone Number : 208-431-9649
Fax Number :
Provider Business Practice Location Address
First Line : 3319 N UNIVERSITY AVE STE 100
Second Line :
City : PROVO
State : UT
Zip : 84604-4447
Country : US
Telephone Number : 208-431-9649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2023
Last Update Date : 03/17/2023

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Directions to “ MALIA ARNELL LCSW” Practice Location

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