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Individual

ATUSA GHADIKOLAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11260 S RIVER HEIGHTS DRIVE, SOUTH JORDAN, UT 84095-8409
(801) 298-2000
(801) 951-1490
Mailing address
1459 N MAIN ST STE 100, BOUNTIFUL, UT 84010-6092
(801) 298-2000
(801) 951-1490

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12022709-3502
UT

Other

Enumeration date
02/11/2021
Last updated
02/11/2021
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