Bruno Leonardo Santos, LCSW
Social Worker, Clinical in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1164070645
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1164070645
- Entity type
- Individual (NPI-1)
- Name
- Bruno Leonardo Santos
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2019
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
344 E 100 SSalt Lake City, UT 84111-1700
Phone 801-322-3222
Mailing address
2238 E 4000 SHolladay, UT 84124-1864
Phone 801-949-7533
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