Individual
SAMANTHA FAY GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
11260 S RIVER HEIGHTS DRIVE, SOUTH JORDAN, UT 84095
(801) 298-2000
Mailing address
902 N 400 E, NEPHI, UT 84648-1021
(435) 287-5036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11934838
UT
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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