Kira Tadehara
Social Worker, Clinical in Layton, UT. Individual provider (NPI-1).
NPI number1518417153
StatusActive
Last updated in NPPESJul 9, 2021
Details
- NPI
- 1518417153
- Entity type
- Individual (NPI-1)
- Name
- Kira Tadehara
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2016
- Certification date
- Jul 9, 2021
- Last updated
- Jul 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 11285650-3501 | UT | Yes |
Practice location
934 S Main StLayton, UT 84041-7135
Phone 801-773-7060
Mailing address
934 S Main StLayton, UT 84041-7135
Phone 801-773-7060
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