Individual
HAILEY NICOLE CERISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 N MAIN ST STE 104, BOUNTIFUL, UT 84010-6115
(801) 298-5222
Mailing address
624 S GLENDALE ST, SALT LAKE CITY, UT 84104-2433
(801) 330-4675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10831010-3501
UT
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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