Mendez, Connie R
Mendez, Connie R is an individual health care provider with primary practice located at 2525 Lake Park Blvd , West Valley UT 84120-8230. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mendez, Connie R can be contacted via phone (801) 982-3038.Contact Information
Primary practice address
2525 Lake Park Blvd
West Valley UT 84120-8230
Phone: (801) 982-3038
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 137478-3501 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 19905 | California |
Profile Details
| NPI number | 1659359388 |
|---|---|
| LBN Legal business name | Mendez, Connie R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jul 25th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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