| South Valley Sanctuary | |
|
324 E 10th Ave Ste 280 Salt Lake City UT 84103-2875 | |
| (801) 255-1095 | |
| Not Available |
| Full Name | South Valley Sanctuary |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 324 E 10th Ave Ste 280, Salt Lake City, Utah |
| Authorized Official Name and Position | Lindsey Boyer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4357054625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Valley Sanctuary Po Box 1028 West Jordan UT 84084-7028 Ph: (801) 255-1095 | South Valley Sanctuary 324 E 10th Ave Ste 280 Salt Lake City UT 84103-2875 Ph: (801) 255-1095 |
| NPI Number | 1922710383 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 12/16/2022 |
| Certification Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922710383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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