Most Relevant Information
Provider Data
| NPI Number: | 1003426040 |
| Provider Name: | KATIE FISHMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 11022383 |
Most Important Dates
| Enumeration Date: | 08/04/2020 |
| Last Updated: | 11/27/2023 |
Provider Practice Location
600 S GENEVA RD
OREM
UT
840595803
Practice Location Phone/Fax
| Phone: | 8018775300 |
| Fax: |
Provider Mailing Location
4978 W FROGS LEAP DR APT 2204
SOUTH JORDAN
UT
840094751
Provider Mailing Phone/Fax
| Phone: | 8059905128 |
| Fax: |