Individual
ASHLEY MARIE POLIDORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2719 E 9800 S, SANDY, UT 84092-4266
(801) 440-9039
Mailing address
2719 E 9800 S, SANDY, UT 84092-4266
(801) 440-9039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9237788-3501
UT
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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