Individual
BETTY CELESTIAL NIUTUPUIVAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
71 W 200 N, NORTH SALT LAKE, UT 84054-2421
(385) 243-1660
Mailing address
71 W 200 N, NORTH SALT LAKE, UT 84054-2421
(385) 243-1660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11819307-3501
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/18/2020
Last updated
03/15/2023
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