Individual
KATHRYN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 E 100 S, SUITE 250, SALT LAKE CITY, UT 84111-1616
(801) 483-2447
Mailing address
781 E 11TH AVE, SALT LAKE CITY, UT 84103-3641
(802) 363-4131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8957355-3501
UT
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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