Individual
MISS CAPPY RAE SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
255 E 400 S, SUITE 200, SALT LAKE CITY, UT 84111-2846
(801) 539-8800
(801) 606-7743
Mailing address
425 E 200 S, APT 23, SALT LAKE CITY, UT 84111-2129
(510) 653-5040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
8822898-3502
UT
Other
Enumeration date
10/19/2010
Last updated
03/06/2019
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