Individual
KATHLEEN MARIA ATENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 428-4257
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 428-4257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13991296-3501
UT
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
13991296-3501
UT
Other
Enumeration date
09/26/2022
Last updated
03/09/2026
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