is a Clinical in Salt Lake City, Utah. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1881646966. The last update date is .
's current location address is 515 S 700 E, Salt Lake City, Utah. You can contact this provider via phone number 8015673545 and fax number 8013559322. The mailing address for is 515 S 700 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 515 S 700 E, Salt Lake City, Utah |
| Phone Number | 8015673545 |
| Fax Number | 8013559322 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881646966 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 515 S 700 E |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841022801 |
| Phone Number | 8015673545 |
| Fax Number | 8013559322 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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