Individual
ANJULI MCKELL LINEBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1104 E ASHTON AVE STE 103, SALT LAKE CITY, UT 84106-2348
(801) 259-7321
Mailing address
1417 E 3000 S, SALT LAKE CITY, UT 84106-3444
(801) 259-7311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10170686-3501
UT
Other
Enumeration date
10/21/2018
Last updated
10/21/2018
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