Individual
KATI M SPENCER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 S 400 E, SUITE 400, SALT LAKE CITY, UT 84111-2135
(801) 326-4392
Mailing address
3746 TEABERRY DR, TAYLORSVILLE, UT 84118-8321
(801) 964-6382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5219964-3501
UT
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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