Most Relevant Information
Provider Data
| NPI Number: | 1003678939 |
| Provider Name: | SUSANNAH HOLDEN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6652876-3501 |
Most Important Dates
| Enumeration Date: | 01/25/2024 |
| Last Updated: | 01/25/2024 |
Provider Practice Location
4983 W AMETHYST DR
WEST JORDAN
UT
840812905
Practice Location Phone/Fax
| Phone: | 8016607194 |
| Fax: |
Provider Mailing Location
4983 W AMETHYST DR
WEST JORDAN
UT
840812905
Provider Mailing Phone/Fax
| Phone: | 8016607194 |
| Fax: |