Individual
SARA THEO HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
807 E SOUTH TEMPLE STE 200, SALT LAKE CITY, UT 84102-1446
(802) 291-1172
Mailing address
807 E SOUTH TEMPLE STE 200, SALT LAKE CITY, UT 84102-1446
(802) 291-1172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089-0001211
VT
1041C0700X
Clinical Social Worker
Primary
366981-3501
UT
Other
Enumeration date
03/03/2008
Last updated
10/17/2022
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