Individual
KELLI FRANDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11075 S STATE ST STE 30, SANDY, UT 84070-5129
(801) 350-1671
Mailing address
517 W ASPEN PEAK DR, SOUTH JORDAN, UT 84095-4128
(801) 505-1867
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7734679-3502
UT
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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