Individual
HAWANATU BANGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
(888) 949-4864
Mailing address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/29/2018
Last updated
02/07/2023
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