Individual
HALIE BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
3663 S 3600 W, WEST VALLEY CITY, UT 84119-2570
(801) 967-4259
Mailing address
1760 W 4805 S, TAYLORSVILLE, UT 84118-1177
(801) 955-9110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7893860-3502
UT
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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