Individual
JANET VIVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.S.W.
Contact information
Practice address
150 E 700 S, SALT LAKE CITY, UT 84111-3806
(801) 364-8080
(801) 364-8098
Mailing address
150 E 700 S, SALT LAKE CITY, UT 84111-3806
(801) 364-8080
(801) 364-8098
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9420267-3502
UT
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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