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Individual

WHITNEY WHITTIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1801 E 136TH ST, GLENPOOL, OK 74033-3753
(801) 941-5274
Mailing address
1801 E 136TH ST, GLENPOOL, OK 74033-3753
(801) 941-5274

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
98144783501
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260022408
RAILROAD MEDICARE
UT
05
876000308007
UT
Enumeration date
03/18/2014
Last updated
10/31/2022
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