Individual
ALISA ANN SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 W MAIN ST STE F, LEHI, UT 84043-2100
(385) 685-0444
Mailing address
768 W 575 S, LEHI, UT 84043-2611
(208) 390-2529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8723337-3501
UT
1041C0700X
Clinical Social Worker
Primary
8723337-3502
UT
Other
Enumeration date
10/26/2018
Last updated
01/21/2020
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