CELISA PACKER

SALT LAKE CITY, UT
NPI1083089643
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  9046926-3502)
Additional Taxonomies1041S0200X Social Worker, School
(Licence: UT  689820)
Enumeration Date2015-12-08
Last Update Date2015-12-08
Business Address
-- CELISA PACKER
2020 E LAKE ST
SALT LAKE CITY, UT 84105
Phone number: 801-487-7778
Mailing Address
-- CELISA PACKER
1760 W 4805 S
TAYLORSVILLE, UT 84129-1177
Phone number: