Individual
PAYTON JOY POLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1108 W S JORDAN PKWY STE B, SOUTH JORDAN, UT 84095-5505
(385) 215-9084
Mailing address
1108 W S JORDAN PKWY STE B, SOUTH JORDAN, UT 84095-5505
(385) 215-9084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11295957-3502
UT
Other
Enumeration date
09/06/2018
Last updated
05/26/2020
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