Individual
TRISHA HASLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(801) 347-3404
Mailing address
2480 S MAIN ST, SOUTH SALT LAKE, UT 84115-3058
(801) 493-2103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
9238054-3501
UT
1041S0200X
School Social Worker
Primary
9238054-3501
UT
Other
Enumeration date
09/13/2021
Last updated
05/17/2022
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