Individual
MRS. KATHERINE ROSE CHENGAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, SSW
Contact information
Practice address
62 E 2700 S, SOUTH SALT LAKE, UT 84115-3132
(801) 657-4160
Mailing address
PO BOX 3095, DUBLIN, OH 43016-0046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9611538-3503
UT
Other
Enumeration date
01/29/2016
Last updated
12/19/2022
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