Individual
RAFAEL SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2825 E. MALL DRIVE, ST GEORGE, UT 84790
(435) 673-6131
(435) 673-8557
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11316285-3501
UT
Other
Enumeration date
08/17/2017
Last updated
01/18/2023
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