Smith, Sandra Gale

Smith, Sandra Gale is an individual health care provider with primary practice located at 1672 W 700 S Ste D , Springville UT 84663-4963. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Smith, Sandra Gale can be contacted via phone (801) 489-9721.

Contact Information

Primary practice address
1672 W 700 S Ste D Springville UT 84663-4963
Phone: (801) 489-9721
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 103299-3501 Utah

Profile Details

NPI number 1679040695
LBN Legal business name Smith, Sandra Gale
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2018
Last updated Oct 29th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679040695 NPPES
Utah Other 103299-3501 DOPL
Utah Other 24447 DOPL

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