Individual
JULIA SHIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
5205 S HOLLADAY BLVD, HOLLADAY, UT 84117-7126
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
12926892-3502
UT
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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