Individual
FARRAH KAISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
437 E 1000 S STE 200, PLEASANT GROVE, UT 84062-3623
(801) 921-3619
Mailing address
437 E 1000 S STE 200, PLEASANT GROVE, UT 84062-3623
(801) 921-3619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11332275-3501
UT
Other
Enumeration date
02/03/2018
Last updated
01/24/2022
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