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Organization
CHILDREN'S CENTER
Active
Organization
CHILDREN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN HANSEN (ADMINISTRATIVE DIRECTOR)
(801) 582-5534
Entity
Organization
Contact information
Practice address
350 S 400 E, SALT LAKE CITY, UT 84111-2908
(801) 582-5534
(801) 582-5540
Mailing address
350 S 400 E, SALT LAKE CITY, UT 84111-2908
(801) 582-5534
(801) 582-5540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10684
UT
Other
Enumeration date
07/08/2006
Last updated
09/08/2009
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