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NPI 1073877726 · Clinical Social Worker · Sandy, UT
Provider details
- NPI number
- 1073877726
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ryan Grant, Lcsw(801) 563-5906
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
11075 S State St Ste 30
Sandy, UT 84070-5129
Phone: (801) 793-8774
Approximate (ZIP-level) locationGet directions
Mailing address
7460 Greenwood Village Dr
Midvale, UT 84047-2260
Registry dates
- Enumerated
- 2012-06-27
- Last updated
- 2012-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.