Individual
TAYLOR SHANIA LOPEZ BOODOORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
2880 W 4700 S STE A, TAYLORSVILLE, UT 84129-2160
(801) 927-2711
Mailing address
2880 W 4700 S STE A, TAYLORSVILLE, UT 84129-2160
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14223209-3502
UT
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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