Individual
LATOYA IRENE PAEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSWI
Contact information
Practice address
3280 W 3500 S STE E, WEST VALLEY, UT 84119-2668
(801) 979-1351
Mailing address
3280 W 3500 S STE E, WEST VALLEY, UT 84119-2668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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