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NPI Code Detail

MEDICARE: PAIGE HUFF LCSW

MEDICARE: PAIGE HUFF LCSW
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 Worker8645736-3502UT
21041C0700XClinical Social Worker8645736-3501UT

General Provider Information

NPI Number : 1497203665
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE HUFF LCSW
Provider Business Mailing Address
First Line : 1724 S MAIN ST
Second Line :
City : SALT LAKE CTY
State : UT
Zip : 84115-1912
Country : US
Telephone Number : 801-486-5012
Fax Number :
Provider Business Practice Location Address
First Line : 1724 S MAIN ST
Second Line :
City : SALT LAKE CTY
State : UT
Zip : 84115-1912
Country : US
Telephone Number : 801-486-5012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2016
Last Update Date : 09/11/2019

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