Individual
LUIS VALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3737 W 4100 S STE 100, SALT LAKE CITY, UT 84120-5435
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, SALT LAKE CITY, UT 84120-6490
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13113694-3503
UT
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
08/11/2026
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