Individual
MS. ELIZABETH D CHIPMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5162 WESLEY RD, SALT LAKE CITY, UT 84117-6652
(801) 268-0662
Mailing address
5162 WESLEY RD, SALT LAKE CITY, UT 84117-6652
(801) 268-0662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108425-3501
UT
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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