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Benjamin Scoma

Social Worker in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1407469737
StatusActive
Last updated in NPPESMay 11, 2022

Details

NPI
1407469737
Entity type
Individual (NPI-1)
Name
Benjamin Scoma
Sex
Male
Sole proprietor
No
Enumeration date
Aug 26, 2020
Certification date
May 11, 2022
Last updated
May 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker12331142-3502UTYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550

Phone 888-949-4864

Mailing address

4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550

Phone 888-949-4864

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