Individual
CHARISSE HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
512 W 750 S STE A, WOODS CROSS, UT 84010-7221
(801) 935-8449
Mailing address
2635 E STRINGHAM AVE APT C114, SALT LAKE CITY, UT 84109-3919
(801) 528-2118
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
134125703502
UT
1041C0700X
Clinical Social Worker
Primary
134125703502
UT
1041S0200X
School Social Worker
134125703502
UT
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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