Individual
CLAUDETTE IVANA BARRAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 E 300 S APT 203, SALT LAKE CITY, UT 84102-2273
(915) 996-7652
Mailing address
740 E 300 S APT 203, SALT LAKE CITY, UT 84102-2273
(915) 996-7652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12817358-3501
UT
1041C0700X
Clinical Social Worker
56820
TX
Other
Enumeration date
04/25/2022
Last updated
03/27/2023
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