Individual
JOSEPH S PUNTASECCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LMSW
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 366-1787
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 366-1787
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11548679-3502
UT
1041C0700X
Clinical Social Worker
Primary
11548679-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108310-01
LMSW
NY
Enumeration date
03/20/2019
Last updated
09/29/2022
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