Individual
ANNA CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2655 S LAKE ERIE DR, WEST VALLEY CITY, UT 84120-7350
(801) 856-4863
Mailing address
2057 E ATKIN AVE, SALT LAKE CITY, UT 84109-1901
(801) 856-4863
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11351677-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/22/2019
Last updated
08/22/2019
About Stedi
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