Individual
MINDY MACDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 S 400 E, SUITE 301, SALT LAKE CITY, UT 84111-2135
(801) 322-3923
(801) 322-0798
Mailing address
124 S 400 E, SUITE 301, SALT LAKE CITY, UT 84111-2135
(801) 322-3923
(801) 322-0798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
139362-3501
UT
Other
Enumeration date
08/05/2006
Last updated
07/21/2022
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