Individual
MOLLY KATHLEEN CHYNOWETH PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1208 E 3300 S, SALT LAKE CITY, UT 84106-2522
(801) 483-1600
Mailing address
3845 BURNINGHAM DR, WEST VALLEY CITY, UT 84119-4767
(801) 643-0136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
372156-3501
UT
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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