Individual
CLARE JULIAN STEPHANIE CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4465 S 900 E STE 150, SALT LAKE CITY, UT 84124-3944
(435) 248-2089
(801) 207-5104
Mailing address
4465 S 900 E STE 150, SALT LAKE CITY, UT 84124-3944
(435) 248-2089
(801) 207-5104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1392273501
UT
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265841795
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/08/2014
Last updated
08/19/2019
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