Individual
SUZANNE LATRICE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 MORRIS AVE, SALT LAKE CITY, UT 84115-3277
(801) 587-8007
Mailing address
2529 E 1300 S, SALT LAKE CITY, UT 84108-1944
(801) 450-0391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6268756-3501
UT
Other
Enumeration date
11/30/2020
Last updated
05/03/2022
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