Provider Demographics
NPI:1407302805
Name:HOWARD, SONJA
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:883 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-2899
Mailing Address - Country:US
Mailing Address - Phone:435-841-9700
Mailing Address - Fax:
Practice Address - Street 1:883 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-2899
Practice Address - Country:US
Practice Address - Phone:435-841-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker