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Individual

HEIDI ALEXANDRIA BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
425 MEDICAL DR, SUITE 218, BOUNTIFUL, UT 84010-4945
(801) 979-2756
(801) 298-8371
Mailing address
425 MEDICAL DR, SUITE 218, BOUNTIFUL, UT 84010-4945
(801) 979-2756
(801) 298-8371

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
263259-3501
UT

Other

Enumeration date
12/14/2006
Last updated
07/08/2007
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