Individual
BRANDIE CRYSTAL PATERAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 W SOUTH JORDAN PKWY STE B2, SOUTH JORDAN, UT 84095-4649
(801) 821-4501
(801) 640-5052
Mailing address
1234 W SOUTH JORDAN PKWY STE B2, SOUTH JORDAN, UT 84095-4649
(801) 821-4501
(801) 640-5052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11353185-3501
UT
1041C0700X
Clinical Social Worker
—
UT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/11/2018
Last updated
02/13/2025
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