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NPI Code Detail

MEDICARE: EUN HA SUH CSW

MEDICARE: EUN HA SUH CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1083891238
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUN HA SUH CSW
Provider Business Mailing Address
First Line : 5965 S 900 E
Second Line :
City : MURRAY
State : UT
Zip : 84121-1720
Country : US
Telephone Number : 801-263-7138
Fax Number :
Provider Business Practice Location Address
First Line : 5965 S 900 E
Second Line :
City : MURRAY
State : UT
Zip : 84121-1720
Country : US
Telephone Number : 801-263-7138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 11/20/2014

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Directions to “ EUN HA SUH CSW” Practice Location

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