Individual
CHRISTINA MARTINEZ DA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7625 S 3200 W STE 2, WEST JORDAN, UT 84084-2887
(801) 915-0359
Mailing address
669 E 700 S, BOUNTIFUL, UT 84010-3812
(801) 244-7397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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