# MARY ELIZABETH OSORO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary Beth Osoro Pllc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447623350
- **Authorized official:** MARY OSORO LCSW (OWNER)
- **Authorized official phone:** (385) 228-5175

## Contact information

- **Practice address:** 7105 S HIGHLAND DR, SUITE 101, SALT LAKE CITY, UT 84121-3753
- **Practice address phone:** (385) 228-5175
- **Practice address fax:** (385) 474-4064
- **Mailing address:** 7105 S HIGHLAND DR, SUITE 101, SALT LAKE CITY, UT 84121-3753
- **Mailing address phone:** (385) 228-5175
- **Mailing address fax:** (385) 474-4064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 6234368-3501 | UT | Yes |

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 11/02/2015