Individual
DEMETRIA MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
5667 S REDWOOD RD # 6, TAYLORSVILLE, UT 84123-5433
(385) 425-3196
Mailing address
5667 S REDWOOD RD # 6, TAYLORSVILLE, UT 84123-5433
(385) 425-3196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13417413-3502
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/05/2019
Last updated
08/03/2024
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