Individual
MS. DONNA EILEEN DIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
450 S 900 E STE 300, SALT LAKE CITY, UT 84102-3064
(801) 534-7901
(801) 532-3608
Mailing address
450 S 900 E STE 300, SALT LAKE CITY, UT 84102-3064
(801) 534-7901
(801) 532-3608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5331960-3501
UT
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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