Individual
NADA BREANNA PLOOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
135 W CENTER ST, PLEASANT GROVE, UT 84062-2207
(801) 785-1169
Mailing address
521 W 810 S, LEHI, UT 84043-3955
(435) 503-4743
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8617338-3502
UT
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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