Individual
KALEO AWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 EAST 5600 SOUTH, SUITE 310, MURRAY, UT 84107
(801) 505-8428
Mailing address
926 WEST 400 SOUTH, SALT LAKE CITY, UT 84104
(801) 505-8428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5788091-3501
UT
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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