Individual
EMILIE CASSAN HAVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8831 S REDWOOD RD, STE. D-4, WEST JORDAN, UT 84088-9283
(385) 419-1217
Mailing address
6144 W 8050 S, WEST JORDAN, UT 84081-8204
(801) 953-8073
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7697743-3501
UT
104100000X
Social Worker
7697743-3502
UT
1041S0200X
School Social Worker
555731
UT
Other
Enumeration date
07/06/2010
Last updated
05/12/2017
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