Individual
DEOJUVANTEH TSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
660 S 200 E STE 250, SALT LAKE CITY, UT 84111-3846
(801) 364-4392
Mailing address
660 S 200 E STE 250, SALT LAKE CITY, UT 84111-3846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118228133501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2020
Last updated
12/04/2023
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