Individual
KRISTEN ANN ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
350 E 400 S, SALT LAKE CITY, UT 84111-2993
(801) 413-3740
Mailing address
350 E 400 S, SALT LAKE CITY, UT 84111-2993
(801) 413-3740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10532887-3502
UT
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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