Individual
MS. LINDA LEE YEATES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
780 GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
(801) 581-0194
(801) 581-0193
Mailing address
3752 HANCOCK RD, MAGNA, UT 84044-2550
(801) 250-4101
(801) 646-5378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2635573501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107011058101
INTERMOUNTAIN HEALTH CARE
UT
01
—
740410
DESERET MUTUAL
UT
01
—
942938348010
CHAMPUS
UT
01
—
942938348YE1
EDUCATOR'S MUTUAL
UT
Enumeration date
02/01/2006
Last updated
07/08/2007
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