Individual
MARY KATHLEEN CASTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3607
(801) 625-3615
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3607
(801) 625-3615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140312-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000308007
—
UT
Enumeration date
04/18/2007
Last updated
07/09/2007
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