Individual
KELLY SEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2469 E FORT UNION BLVD STE 206, SALT LAKE CITY, UT 84121-3417
(801) 792-3228
Mailing address
632 E 700 S, SALT LAKE CITY, UT 84102-3411
(801) 792-3228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5668130-3501
UT
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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