Individual
PATRICE TADJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
3191 SOUTH VALLEY ST., #210, SALT LAKE CITY, UT 84109
(801) 256-4937
(801) 466-1386
Mailing address
3468 EASTWOOD DR, SALT LAKE CITY, UT 84109-3268
(801) 256-4937
(801) 466-1386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
126340-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VENDOR 59401A
UTAH VENDOR #
UT
Enumeration date
04/06/2007
Last updated
07/09/2007
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