Jesus De La Torre, LCSW

NPI #1750380184 in Slc, Utah

Provider Information

NPI Number: 1750380184
Entity Type: Individual
Name: Jesus De La Torre, LCSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 18, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1579 W 600 S
City: Slc
State: Utah
ZIP Code: 84104-2512
Phone: (801) 973-0655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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