Individual
CLOVER ELIZABETH SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1850 S 2500 E, SLC, UT 84108-3242
(801) 481-4957
Mailing address
780 GUARDSMAN WAY, SLC, UT 84108-1374
(801) 481-4957
(801) 481-4959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63496693501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689742728
BLUE CROSS
UT
Enumeration date
11/30/2006
Last updated
01/06/2009
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