Dianna Louise Serfustini, LCSW
Social Worker, Clinical in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1043531908
StatusActive
Last updated in NPPESAug 31, 2016
Details
- NPI
- 1043531908
- Entity type
- Individual (NPI-1)
- Name
- Dianna Louise Serfustini
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2010
- Last updated
- Aug 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 75020253501 | UT | Yes |
Practice location
51 W 3900 SSalt Lake City, UT 84107-1431
Phone 801-266-4363 · Fax 801-266-1088
Mailing address
51 W 3900 SSalt Lake City, UT 84107-1431
Phone 801-266-4363 · Fax 801-266-1088
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