Individual
RAINI K HEAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1244 N MAIN ST STE 202, TOOELE, UT 84074-5009
(435) 830-9905
(385) 249-2064
Mailing address
646 COUNTRY CLB, STANSBURY PARK, UT 84074-9604
(435) 830-9905
(435) 249-0360
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
70191303501
UT
Other
Enumeration date
05/16/2011
Last updated
01/19/2022
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