IndividualActive
Kalisitiane Uluave
NPI 1568034965 · Clinical Social Worker · Logan, UT
Provider details
- NPI number
- 1568034965
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 12260180-3506 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
115 Golf Course Rd Ste E
Logan, UT 84321-5934
Phone: (435) 799-5035
Approximate (ZIP-level) locationGet directions
Mailing address
115 Golf Course Rd Ste E
Logan, UT 84321-5934
Registry dates
- Enumerated
- 2021-07-14
- Last updated
- 2021-07-14
- Certified
- 2021-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.