Individual
MISS ELYSE NICOLE GILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
873 W BAXTER DR, SOUTH JORDAN, UT 84095-8506
(801) 446-3515
Mailing address
5278 W BOWSTRING WAY, SOUTH JORDAN, UT 84009-6161
(801) 598-2091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9039384-3501
UT
1041C0700X
Clinical Social Worker
Primary
9039384-3501
UT
Other
Enumeration date
07/27/2022
Last updated
11/07/2025
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