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MITCHEL VANWAGONER

Clinical Social Worker

NPI: 1861056343Individual

Specialties, Licenses & Credentials

Case Manager/Care Coordinator

Code: 171M00000X

Social Worker — Clinical

Code: 1041C0700X

11780474-3502(UT)

Contact & Hours

Address
12608 S 125 W STE E
DRAPER, UT 84020

Quick Facts

NPI
1861056343
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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