Individual
MR. GARETT ARVIN KOFOED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8TH AVE C ST E, SALT LAKE CITY, UT 84143-3226
(801) 408-7301
Mailing address
9721 S OIA LN, SOUTH JORDAN, UT 84095-2309
(385) 228-9511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8636089-3501
UT
Other
Enumeration date
10/05/2010
Last updated
02/05/2025
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