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NPI Code Detail

MEDICARE: DIANA AGUILERA SANCHEZ LCSW

MEDICARE: DIANA AGUILERA SANCHEZ 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
11041C0700XClinical Social Worker11935165-3502UT

General Provider Information

NPI Number : 1568055531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA AGUILERA SANCHEZ LCSW
Provider Business Mailing Address
First Line : 3269 S MAIN ST STE 230
Second Line :
City : SOUTH SALT LAKE
State : UT
Zip : 84115-3769
Country : US
Telephone Number : 801-935-4447
Fax Number :
Provider Business Practice Location Address
First Line : 3269 S MAIN ST STE 230
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-3769
Country : US
Telephone Number : 801-935-4447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2021
Last Update Date : 03/11/2026

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Directions to “ DIANA AGUILERA SANCHEZ LCSW” Practice Location

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