Individual
MARY ELIZABETH WHITTAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
970 MURRAY HOLLADAY RD, #2F, SALT LAKE CITY, UT 84117-4962
(801) 264-9960
(801) 264-5099
Mailing address
970 MURRAY HOLLADAY RD, #2F, SALT LAKE CITY, UT 84117-4962
(801) 264-9960
(801) 264-5099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130283-3501
UT
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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