Individual
ELISABETH CONSTANCE SAUCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4655 S 1900 W, ROY, UT 84067-2772
(385) 456-5778
(801) 797-0252
Mailing address
4655 S 1900 W STE 5, ROY, UT 84067-2773
(385) 456-5778
(801) 797-0252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
UT
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
9753119-3501
UT
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055266
MEDICARE PIN
UT
01
—
260022408
RAILROAD MEDICARE
UT
Enumeration date
04/11/2018
Last updated
08/13/2025
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