Individual
MONA LISA CHAVEZ ESQUEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, PHD (ABD)
Contact information
Practice address
3435 S BROOK VIEW LN, SALT LAKE CITY, UT 84106-1593
(801) 633-6579
Mailing address
3435 S BROOK VIEW LN, SALT LAKE CITY, UT 84106-1593
(801) 633-6579
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7959901-3502
UT
1041C0700X
Clinical Social Worker
Primary
7959901-3501
UT
Other
Enumeration date
02/25/2020
Last updated
12/11/2021
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