Individual
MRS. ASHLEY MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
11650 S STATE ST STE 104, DRAPER, UT 84020-7144
(801) 867-3472
Mailing address
1342 W NECTARINE CIR, SOUTH JORDAN, UT 84095-5834
(801) 615-6354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10113758-3502
UT
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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