Individual
MISS SHIRLEY ROSE ELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
1141 EAST 3900 SOUTH, SALT LAKE, UT 84124
(801) 284-4900
(801) 284-4901
Mailing address
1141 E 3900 S, SALT LAKE CITY, UT 84124-1215
(801) 284-4900
(801) 284-4901
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
331819-3503
UT
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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