Individual
MS. MOLLY GEORGE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3098 S HIGHLAND DR, SUITE 202, SALT LAKE CITY, UT 84106-3085
(801) 680-4705
(801) 906-0129
Mailing address
PO BOX 179, SALT LAKE CITY, UT 84110-0179
(801) 680-4705
(801) 906-0129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
333285-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03332853501001
BCBS
UT
Enumeration date
04/19/2006
Last updated
03/04/2013
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