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Contact Information

MEREESA G BANGERTER, CSW
750 N FREEDOM BLVD
PROVO, UT84601-1677
 Phone: 801-373-4760
 Fax: 801-373-0639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for MEREESA G BANGERTER · (Female)

NPI Number 1619371366
Status Active
Credentials CSW
Entity Individual
Enumeration date 10/09/2014
Last updated 11/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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