Individual
MARTHA RACHEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
4525 GILEAD WAY, SALT LAKE CITY, UT 84124-4017
(801) 278-9015
Mailing address
4525 GILEAD WAY, SALT LAKE CITY, UT 84124-4017
(801) 278-9015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128788-3501
UT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/25/2006
Last updated
08/10/2007
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