Individual
CLANCY HALSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
595 DOUGLAS ST, OGDEN, UT 84404-4319
(281) 781-4690
Mailing address
595 DOUGLAS ST, OGDEN, UT 84404-4319
(281) 781-4690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
13212205-3501
UT
Other
Enumeration date
07/01/2020
Last updated
05/23/2023
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