Individual
MRS. ALISA WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-1685
Mailing address
12253 S 900 E, DRAPER, UT 84020-7413
(801) 234-0821
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
104100000X
Social Worker
Primary
6417093-3502
UT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/17/2012
Last updated
05/23/2022
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