Individual
RAINEY BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 583-2500
Mailing address
9425 S RIVERSIDE DR, APT. 1636, SANDY, UT 84070-6511
(208) 242-6325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6595792-3501
UT
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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