Individual
TAVIA VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1708 E 5550 S STE 23, OGDEN, UT 84403-7038
(801) 475-4673
(801) 528-3392
Mailing address
1718 N 2400 W, CLINTON, UT 84015-8270
(801) 675-0634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
111663153501
UT
1041S0200X
School Social Worker
Primary
1166315-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1166315-3502
CERTIFIED SOCIAL WORKER
UT
Enumeration date
04/29/2019
Last updated
05/10/2025
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