Individual
SUEELLEN EBERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW CSW
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
(801) 322-2831
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
(801) 322-2831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7716151-3502
UT
Other
Enumeration date
09/19/2009
Last updated
02/14/2014
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