Individual
MS. SANDRA ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1190 N 900 E, # 211, PROVO, UT 84604-3536
(801) 422-7620
(801) 422-0165
Mailing address
694 E 1280 N, OREM, UT 84097-3408
(801) 226-9050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
322609-3501
UT
Other
Enumeration date
04/23/2007
Last updated
11/25/2009
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