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Individual

DERAI ANITA PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1466 N HIGHWAY 89, SUITE 220, FARMINGTON, UT 84025-2738
(801) 451-0475
(801) 451-8249
Mailing address
1466 N HIGHWAY 89, SUITE 220, FARMINGTON, UT 84025-2738
(801) 451-0475
(801) 451-8249

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6568213-3501
UT

Other

Enumeration date
08/19/2008
Last updated
08/19/2008
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