Individual
IBRAHIM MOHAMMAD CHOUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6706 S ARTESIAN WAY APT 11, COTTONWOOD HEIGHTS, UT 84121-6831
(385) 421-1846
Mailing address
6706 S ARTESIAN WAY APT 11, COTTONWOOD HEIGHTS, UT 84121-6831
(385) 421-1846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10382212-3501
UT
1041C0700X
Clinical Social Worker
Primary
10382212-3501
UT
172V00000X
Community Health Worker
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—
Other
Enumeration date
10/13/2010
Last updated
03/29/2024
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