Individual
MS. LINDA C GURRISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4190 HIGHLAND DR, SUITE 210, SALT LAKE CITY, UT 84124-2600
(801) 278-8492
(801) 278-8504
Mailing address
2937 BRANCH DR, SALT LAKE CITY, UT 84117-5503
(801) 277-7149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120801-3501
UT
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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