Individual
JULIA K SICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
3409 W 12600 S STE 110, RIVERTON, UT 84065-7270
(435) 248-2325
Mailing address
3409 W 12600 S STE 110, RIVERTON, UT 84065-7270
(269) 932-5330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801086529
MI
1041C0700X
Clinical Social Worker
Primary
9452890-3501
UT
1041C0700X
Clinical Social Worker
CSW 004624
GA
Other
Enumeration date
01/18/2008
Last updated
10/09/2024
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