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Organization
SACRED SPACES LLC
Active
Organization
SACRED SPACES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDRA MICIC LCSW (OWNER)
(801) 815-6905
Entity
Organization
Contact information
Practice address
7296 W SENTINAL RD, WEST VALLEY CITY, UT 84081-6072
(801) 815-6905
Mailing address
7296 W SENTINAL RD, WEST VALLEY CITY, UT 84081-6072
(801) 815-6905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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