Elisha Nichole Betancourt, CSW

NPI #1659887222 in West Jordan, Utah

Provider Information

NPI Number: 1659887222
Entity Type: Individual
Name: Elisha Nichole Betancourt, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: CSW
Enumeration Date: Dec 19, 2017
Last Updated: Dec 19, 2017

Practice Location

Address: 7625 S 3200 W STE 2
City: West Jordan
State: Utah
ZIP Code: 84084-2887
Phone: (801) 915-0359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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