Individual
SHELLEY ALISKA KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3944 S 400 E, SALT LAKE CITY, UT 84107-1600
(801) 261-1442
Mailing address
3944 S 400 E, SALT LAKE CITY, UT 84107-1600
(801) 261-1442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
77427673502
UT
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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