Individual
TANISHA R SHEDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
59 W 9000 S, SANDY, UT 84070-2008
(801) 251-6077
Mailing address
2350 E ROYAL LN, SANDY, UT 84093-6434
(801) 637-4461
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12819881-3502
UT
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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