Individual
MS. KIMBERLI KAY ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E 3900 S STE 16, SALT LAKE CITY, UT 84107-1571
(801) 268-4044
(801) 263-0926
Mailing address
220 E 3900 S STE 16, SALT LAKE CITY, UT 84107-1571
(801) 268-4044
(801) 263-0926
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5421761-3503
UT
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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