Individual
SAVANAH ASHLEY BILANZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
177 W PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4525
Mailing address
177 W PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6575473-3503
UT
Other
Enumeration date
03/30/2011
Last updated
04/20/2013
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