Individual
ELLICE ASAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 W 6200 S, TAYLORSVILLE, UT 84129-3725
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11285616-3503
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/11/2019
Last updated
10/30/2024
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