Individual
HALEY ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1045 S OREM BLVD, OREM, UT 84058-6979
(801) 995-0861
Mailing address
15243 S GLORY DR, BLUFFDALE, UT 84065-4933
(801) 995-0861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11774264-3501
UT
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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