Individual
SAMANTHA SHIMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 W 2700 S, SOUTH SALT LAKE, UT 84115-2904
(801) 678-3317
Mailing address
1920 E SIGGARD DR, SALT LAKE CITY, UT 84106-3838
(801) 678-3317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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