Individual
DIANNA LOUISE SERFUSTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
51 W 3900 S, SALT LAKE CITY, UT 84107-1431
(801) 266-4363
(801) 266-1088
Mailing address
51 W 3900 S, SALT LAKE CITY, UT 84107-1431
(801) 266-4363
(801) 266-1088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
75020253501
UT
Other
Enumeration date
06/15/2010
Last updated
08/31/2016
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