Individual
KELSEY LYTHGOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSWI
Contact information
Practice address
1570 S 1100 E, SALT LAKE CITY, UT 84105-2441
(801) 438-6387
Mailing address
1570 S 1100 E, SALT LAKE CITY, UT 84105-2441
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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