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Contact Information

LIAT ANKONINA, SSW
164 E 5900 S STE 101
SALT LAKE CITY, UT84107-7256
 Phone: 801-261-5790
 Fax: 801-261-5794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LIAT ANKONINA · (Female)

NPI # 1548859671
Status Active
Credentials SSW
Entity Individual
Enumeration date 01/13/2021
Last updated 01/13/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 11378898-3503
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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