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Individual

KAREN LEE PLATIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1141 E 3900 S, SUITE A-170, SALT LAKE CITY, UT 84124-1215
(801) 270-6507
Mailing address
1141 E 3900 S, SUITE A-170, SALT LAKE CITY, UT 84124-1215
(801) 270-6507

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
831262203501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107006105101
IHC
UT
01
107006105102
INTRMTN HEALTH CARE
UT
01
20022
DESERET MUTUAL
UT
01
942938348
CHAMPUS
UT
01
942938348PL1
EDUCATORS MUTUAL
UT
01
X
BLUE CROSS
UT
Enumeration date
01/17/2006
Last updated
08/10/2012
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