Individual
MRS. CANDICE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
45 W 9000 S STE 1, SANDY, UT 84070-2047
(801) 597-9558
Mailing address
45 W 9000 S STE 1, SANDY, UT 84070-2047
(801) 597-9558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6086447-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107001404101
INTRMTN. HEALTH CARE
UT
01
—
262141
DESERET MUTUAL
UT
01
—
942938348
CHAMPUS
UT
01
—
942938348F
EDUCATORS MUTUAL
UT
Enumeration date
06/16/2006
Last updated
03/07/2023
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