Individual
MR. KIM DANIEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSW
Contact information
Practice address
132 S STATE ST, SUITE 100, SALT LAKE CITY, UT 84111-1506
(801) 240-6500
Mailing address
132 S STATE ST, SUITE 100, SALT LAKE CITY, UT 84111-1506
(801) 240-6500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6626957-3502
UT
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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