Individual
HAILEY MAIRE-GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CST
Contact information
Practice address
473 W 1400 N, OREM, UT 84057
(801) 438-4045
Mailing address
473 W 1400 N, OREM, UT 84057
(801) 438-4045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10834432-3501
UT
1041C0700X
Clinical Social Worker
120709
IA
1041C0700X
Clinical Social Worker
120798
IA
1041C0700X
Clinical Social Worker
2022018693
MO
1041C0700X
Clinical Social Worker
CSW008254
GA
1041C0700X
Clinical Social Worker
LCSW40586
ID
1041C0700X
Clinical Social Worker
LSCSW06178
KS
1041C0700X
Clinical Social Worker
SWIA.SC.61295735
WA
Other
Enumeration date
10/23/2019
Last updated
12/02/2025
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