Individual
DIANE LOUISE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
741 E 9000 S STE 100, SANDY, UT 84094-3086
(801) 759-3727
(803) 746-5713
Mailing address
5526 W 13400 S # 423, HERRIMAN, UT 84096-6919
(770) 833-5809
(803) 746-5713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
80894983506
UT
Other
Enumeration date
03/29/2011
Last updated
07/25/2024
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