| A Safe Place | |
|
11075 S State St Ste 30 Sandy UT 84070-5129 | |
| (801) 793-8774 | |
| Not Available |
| Full Name | A Safe Place |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11075 S State St Ste 30, Sandy, Utah |
| Authorized Official Name and Position | Ryan Kelly Grant (LCSW) |
| Authorized Official Contact | 8015635906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Safe Place 7460 Greenwood Village Dr Midvale UT 84047-2260 Ph: (801) 793-8774 | A Safe Place 11075 S State St Ste 30 Sandy UT 84070-5129 Ph: (801) 793-8774 |
| NPI Number | 1073877726 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073877726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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