Individual
HEATHER MARGARET KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3387 S SANTA ROSA DR, SALT LAKE CITY, UT 84109-4132
(801) 759-0020
Mailing address
3387 S SANTA ROSA DR, SALT LAKE CITY, UT 84109-4132
(801) 759-0020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5904301-3501
UT
Other
Enumeration date
09/13/2022
Last updated
12/03/2022
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