Individual
KATRINA MARISOL RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3336 S PIONEER PKWY STE 201, WEST VALLEY CITY, UT 84120-2085
(801) 313-0555
(801) 313-9669
Mailing address
6170 W DEER SPRINGS LN, KEARNS, UT 84118-9301
(385) 227-3528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10371566-3501
UT
Other
Enumeration date
08/03/2020
Last updated
11/21/2020
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