Individual
CANDACE J BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-6023
(801) 718-8438
Mailing address
1226 W S JORDAN PKWY, SOUTH JORDAN, UT 84095-6023
(801) 718-8438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9190801-3501
UT
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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