Individual
KRISTINA MUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6150 S REDWOOD RD, TAYLORSVILLE, UT 84123-5308
(801) 342-2283
Mailing address
8014 W PLEASANT GREEN DR, MAGNA, UT 84044-3423
(801) 250-2158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10658720-3501
UT
1041C0700X
Clinical Social Worker
10658720-3502
UT
Other
Enumeration date
05/12/2017
Last updated
02/27/2023
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