Individual
BRENDA R ZIGICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1225 FORT UNION BLVD, 215, MIDVALE, UT 84047-1889
(801) 233-4200
(801) 442-0638
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1625
(801) 442-0638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
132639-3501
UT
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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