Individual
MS. ANGELA MARIE FANJUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
860 E 4500 S STE 204, SALT LAKE CITY, UT 84107-3014
(801) 261-3440
Mailing address
621 SENATE CIR, SALT LAKE CITY, UT 84104-2458
(801) 971-9377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5586510-3502
UT
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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