ALESA VAN DYKE, SSW

Social Worker

Active Individual
NPI: 1689784829

Practice Address

750 NORTH 200 WEST
Provo, UT 84601

Phone: (801) 373-4760

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 6267310 3503 (UT)

Frequently Asked Questions

NPI 1689784829 is the National Provider Identifier for ALESA VAN DYKE, SSW, a Social Worker provider located in Provo, UT. This NPI was enumerated on August 30, 2006.
ALESA VAN DYKE, SSW practices at 750 NORTH 200 WEST, Provo, UT 84601.

Quick Facts

NPI
1689784829
Type
Individual
Enumerated
Aug 30, 2006
Last Updated
Jul 8, 2007

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