Individual
ANGEL REY CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 S 5600 S, SUITE 110, MURRAY, UT 84107-3060
(801) 600-0308
Mailing address
201 E VINE ST APT 2, SALT LAKE CITY, UT 84107-5222
(562) 210-9240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/03/2020
Last updated
02/15/2024
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