Individual
SAMANTHA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
2214 W HEATHERGLEN DR, TAYLORSVILLE, UT 84129-6030
(801) 322-4257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9814756-3503
UT
Other
Enumeration date
06/18/2016
Last updated
06/18/2016
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