NPI 1003186438

Joellyn Orcutt Manville, MSWLCSW

Practitioner Clinical Social Worker Slc, UT

Practice location

Address: 275 E South Temple STE 202, Slc, UT 84111-1247
Phone: (801) 609-1055
Fax: (801) 953-0271

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 62205833501 (UT)

Other Social Worker providers in Utah →

Registry record

NPI: 1003186438
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2012
Record last updated: 31 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.