Individual
ENRIQUE AUGUSTO VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
8541 S REDWOOD RD, BLDG A, WEST JORDAN, UT 84088-9327
(801) 233-8670
(801) 233-8682
Mailing address
775 E 1500 S, BOUNTIFUL, UT 84010-2134
(801) 643-1640
(801) 233-8682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
133485-3501
UT
Other
Enumeration date
08/09/2008
Last updated
08/09/2008
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