Individual
MS. CAROLYN R SANDERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4774 HOLLADAY BLVD, HOLLADAY, UT 84117-5444
(801) 541-9078
(801) 274-8296
Mailing address
4835 HARPER ST, HOLLADAY, UT 84117-6208
(801) 278-3027
(801) 274-8296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1405623501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37604633
UNITED BEHAVIORIAL HEALTH
UT
01
—
5285452340002
CIGNA
TX
05
—
621550311002
—
UT
Enumeration date
03/09/2006
Last updated
07/08/2007
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