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Individual

MISS ANALISSA CAMACHO SANTILLANES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
801 N 500 W STE 101, WEST BOUNTIFUL, UT 84010-6847
(801) 683-9992
Mailing address
5483 JOSH AVE, CHUBBUCK, ID 83202-5098
(208) 223-5790

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14204960-3501
UT

Other

Enumeration date
10/10/2022
Last updated
04/23/2025
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