Individual
MS. SAMANTHA JEAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 587-4732
(801) 581-3815
Mailing address
3377 W CROWN ST, TAYLORSVILLE, UT 84129-7820
(801) 712-3167
(801) 581-3815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10336369-3501
UT
Other
Enumeration date
07/29/2020
Last updated
11/12/2021
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