Individual
MARK LINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
225 S 200 E STE 250, SALT LAKE CITY, UT 84111-5005
(801) 363-4596
(801) 363-6068
Mailing address
225 S 200 E STE 250, SALT LAKE CITY, UT 84111-5005
(801) 363-4596
(801) 363-6068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8282587-3502
UT
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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