Individual
MRS. MARIE SEOANE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1208 E 3300 S, SALT LAKE CITY, UT 84106-2522
(801) 483-1600
(801) 483-1610
Mailing address
1208 E 3300 S, SALT LAKE CITY, UT 84106-2522
(801) 483-1600
(801) 483-1610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
351850-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351850-3501
LCSW
UT
Enumeration date
06/10/2006
Last updated
07/08/2007
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