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NPI Code Detail

MEDICARE: GWENDOLYNN SKEEN

MEDICARE:   GWENDOLYNN  SKEEN
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
1101YM0800XMental Health Counselor10720578-3501UT
2104100000XSocial Worker

General Provider Information

NPI Number : 1225495989
Entity Type Code : Individual
Provider Name (Legal Business Name) : GWENDOLYNN SKEEN
Provider Business Mailing Address
First Line : 2387 S 2050 W
Second Line :
City : SYRACUSE
State : UT
Zip : 84075-9365
Country : US
Telephone Number : 801-682-7684
Fax Number :
Provider Business Practice Location Address
First Line : 172 N EAST PROMONTORY STE 270
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2964
Country : US
Telephone Number : 801-382-8238
Fax Number : 866-560-4702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2016
Last Update Date : 08/04/2025

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Directions to “ GWENDOLYNN SKEEN ” Practice Location

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