Individual
JULIAN SALLUM DALANHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1206 W SOUTH JORDAN PKWY STE D, SOUTH JORDAN, UT 84095-5519
(801) 302-3801
(801) 302-7248
Mailing address
1206 W SOUTH JORDAN PKWY, SUITE D, SOUTH JORDAN, UT 84095-5511
(801) 302-3801
(801) 302-7248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9900674-3501
UT
Other
Enumeration date
07/15/2015
Last updated
12/19/2018
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