Individual
LISA DAGOSTINOSILVERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
3429 CEDAR DR, PARK CITY, UT 84098-5499
(435) 640-9198
Mailing address
3429 CEDAR DR, PARK CITY, UT 84098-5499
(435) 640-9198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7020425-3502
UT
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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