Individual
BETH ANNE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1141 E 3900 S STE A170, SALT LAKE CITY, UT 84124-1250
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10966161-3502
UT
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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