Individual
KRISTINA BART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
474 W 200 N, SUITE 200, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Mailing address
1240 E 100 S, STE 121, ST GEORGE, UT 84790-3079
(435) 634-5600
(435) 986-8700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6312436-3502
UT
1041C0700X
Clinical Social Worker
Primary
63124363501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6312436-3502
STATE LICENSE
UT
Enumeration date
05/21/2007
Last updated
04/19/2017
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