Individual
DANIELLE ANTCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHCM
Contact information
Practice address
60 S MAIN ST STE 6, TOOELE, UT 84074-2136
(435) 255-6150
(435) 938-7151
Mailing address
60 S MAIN ST STE 6, TOOELE, UT 84074-2136
(435) 255-6150
(435) 938-7151
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F25-119658
UT
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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