Individual
KATE KELLY HARLINE ANDELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1174 E GRAYSTONE WAY STE 3, SALT LAKE CITY, UT 84106-2671
(385) 262-4048
Mailing address
777 E SOUTH TEMPLE APT 10C, SALT LAKE CITY, UT 84102-1274
(801) 900-1613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9808123-3501
UT
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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