Provider Demographics
NPI:1306546031
Name:SOLIAI, FOTUOPALAAU CARLO (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:FOTUOPALAAU
Middle Name:CARLO
Last Name:SOLIAI
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 N WESTRIDGE DR APT 17
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-6614
Mailing Address - Country:US
Mailing Address - Phone:435-705-4664
Mailing Address - Fax:
Practice Address - Street 1:585 N WESTRIDGE DR APT 17
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-6614
Practice Address - Country:US
Practice Address - Phone:435-705-4664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5843389-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical