Individual
CARISSA RETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1186 E 4600 S STE 200, OGDEN, UT 84403-5097
(801) 675-8856
Mailing address
195 N 1950 W, SALT LAKE CITY, UT 84116-3100
(801) 538-4001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14065791-3502
UT
Other
Enumeration date
03/29/2017
Last updated
07/24/2024
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