Individual
KELLY MABEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 S WEST TEMPLE, S SALT LAKE, UT 84115-4441
(385) 468-4437
Mailing address
3660 S WEST TEMPLE, S SALT LAKE, UT 84115-4441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5755606-3501
UT
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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