Individual
MRS. KARIN ADDIE CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8765 WILD ROSE LN, PORTAGE, UT 84331-8924
(435) 279-0402
Mailing address
8765 WILD ROSE LN, PORTAGE, UT 84331-8924
(435) 525-7464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7763855-3501
UT
Other
Enumeration date
10/01/2012
Last updated
06/14/2023
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