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Individual

CAYSON SHEFFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1140 36TH ST, OGDEN, UT 84403-2050
(385) 234-1234
Mailing address
PO BOX 3986, SALT LAKE CITY, UT 84110-3986

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
174057884
STATE DRIVER'S LICENSE
UT
Enumeration date
06/21/2022
Last updated
06/21/2022
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