Individual
MS. TRUDY BACH WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
845 E 4800 SO, #200, SALT LAKE CITY, UT 84107
(801) 685-9500
(801) 265-9604
Mailing address
845 E 4800 SO, #200, SALT LAKE CITY, UT 84107
(801) 685-9500
(801) 265-9604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1209683501
UT
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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