Individual
MRS. LORRAINE S KILPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6925 UNION PARK CTR, SUITE 490, MIDVALE, UT 84047-4142
(801) 566-2622
(801) 566-0536
Mailing address
6925 UNION PARK CTR, SUITE 490, MIDVALE, UT 84047-4142
(801) 566-2622
(801) 566-0536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
126297-3501
UT
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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