ADDISON CLEVENGER

Case Manager/Care Coordinator

Active Individual
NPI: 1073403309

Practice Address

1165 E 300 N
Provo, UT 84606

Phone: (801) 319-1142

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1073403309 is the National Provider Identifier for ADDISON CLEVENGER, a Case Manager/Care Coordinator provider located in Provo, UT. This NPI was enumerated on July 8, 2025.
ADDISON CLEVENGER practices at 1165 E 300 N, Provo, UT 84606.

Quick Facts

NPI
1073403309
Type
Individual
Enumerated
Jul 8, 2025
Last Updated
Jul 8, 2025

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