NPI 1013018696

Bonnie Angell Parkin, SSW

Practitioner Social Worker Provo, UT

Practice location

Address: 750 N Freedom Blvd, Provo, UT 84601-1677
Phone: (801) 373-4760

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 6171575-3503 (UT)

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Registry record

NPI: 1013018696
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2006
Record last updated: 8 Jul 2007

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.