Individual
MARTHA LILIA SOTO CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ASUDC
Contact information
Practice address
4000 S 700 E STE 9, SALT LAKE CITY, UT 84107-2581
(801) 639-9544
Mailing address
5481 W RIDGE HOLLOW WAY, KEARNS, UT 84118-9251
(385) 414-5482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10378394-3502
UT
Other
Enumeration date
01/27/2020
Last updated
12/02/2022
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