Individual
MISS RACHEL AZUCENA RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3000
Mailing address
153 EAST 2ND AVE #4, SALT LAKE CITY, UT 84103
(801) 850-4494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8965258-3501
UT
Other
Enumeration date
10/27/2014
Last updated
03/19/2019
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