Individual
ILAISAANE SIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E 4500 S STE 240D, MURRAY, UT 84107-2900
(925) 726-8957
Mailing address
461 W 13490 S APT B213, DRAPER, UT 84020-7232
(925) 726-8957
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
UT
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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