Individual
ELAINE CHEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5770 S 1500 W, #G, SALT LAKE CITY, UT 84123
(801) 313-7770
Mailing address
5770 S 1500 W, #G, SALT LAKE CITY, UT 84123
(801) 313-7770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16500
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544171400
—
MN
Enumeration date
09/28/2006
Last updated
02/06/2012
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