Individual
KELLI MICHELE HOUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
1570 E 575 N, LAYTON, UT 84040-3635
(480) 776-4776
Mailing address
1570 E 575 N, LAYTON, UT 84040-3635
(480) 776-4776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8374245-3502
UT
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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