Individual
EVA ALEXANDRA MARTINEZ ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
628 N PUGSLEY ST, SALT LAKE CITY, UT 84103-1329
(385) 261-2171
Mailing address
1003 N 1500 W, SALT LAKE CITY, UT 84116-1640
(801) 808-8556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14024757-3502
UT
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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