Individual
GABRIELLE ERNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, SSW
Contact information
Practice address
5411 S VINE ST, MURRAY, UT 84107-7746
(801) 831-9075
Mailing address
5411 S VINE ST, MURRAY, UT 84107-7746
(801) 831-9075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9474147-3502
UT
1041C0700X
Clinical Social Worker
9474147-3501
UT
1041S0200X
School Social Worker
—
—
Other
Enumeration date
10/07/2019
Last updated
05/27/2022
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