Individual
SARA AUTUMN ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 S MAIN ST, RICHFIELD, UT 84701-2699
(435) 896-8236
Mailing address
PO BOX 10, GUNNISON, UT 84634-0010
(435) 283-8400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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