Individual
LEE SMITHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
660 S 200 E, SALT LAKE CITY, UT 84111-3835
(801) 359-8862
Mailing address
PO BOX 681, BOUNTIFUL, UT 84011-0681
(901) 286-0224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10422038-3502
UT
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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