Individual
KATHLEEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3070 RASMUSSEN RD STE 280, PARK CITY, UT 84098-5516
(801) 671-1315
Mailing address
PO BOX 982693, PARK CITY, UT 84098-2693
(801) 671-1315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
37097
ID
1041C0700X
Clinical Social Worker
Primary
68850903501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456789
BLUE CROSS
UT
Enumeration date
03/30/2008
Last updated
10/12/2021
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