Individual
KIM MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5800 HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
(801) 272-9980
Mailing address
5800 HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5984542-3502
UT
Other
Enumeration date
04/12/2010
Last updated
09/25/2012
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