Individual
ANTHONY BAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
254 S 600 E STE 102, SALT LAKE CITY, UT 84102-2187
(801) 382-8259
Mailing address
254 S 600 E STE 102, SALT LAKE CITY, UT 84102-2187
(801) 382-8259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9433374-3502
UT
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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