Individual
MOLLY THEURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3980 S 700 E STE 22, SALT LAKE CITY, UT 84107-2589
(385) 743-2728
Mailing address
4255 NW COLUMBIA AVE, PORTLAND, OR 97229-2951
(801) 706-5559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7360701-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/08/2008
Last updated
03/12/2021
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