Individual
MRS. MARIN C BYWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
780 GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
(801) 581-0194
(801) 581-0193
Mailing address
780 GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
(801) 581-0194
(801) 581-0193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
59200653502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
INTERN
DESERET MUTUAL
UT
Enumeration date
01/12/2006
Last updated
03/06/2013
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