Individual
MR. SAM HUPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.W
Contact information
Practice address
177 W PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4500
Mailing address
177 W PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8954656-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HT002258-001
—
UT
Enumeration date
07/21/2014
Last updated
07/21/2014
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