Individual
SABRINA ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
11479 E 15900 N, MT PLEASANT, UT 84647-5687
(435) 619-1220
Mailing address
PO BOX 251, MT PLEASANT, UT 84647-0251
(435) 619-1220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12707489-3502
UT
Other
Enumeration date
10/19/2022
Last updated
10/17/2023
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