Individual
ROBERT S GORELIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8834 GORGOZA DR, PARK CITY, UT 84098-4734
(435) 645-9336
Mailing address
8834 GORGOZA DR, PARK CITY, UT 84098-4734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1373693501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107000923101
INTERMOUNTIAN HEALTH CARE
UT
01
—
292735
DESERET MUTUAL INSURANCE
UT
01
—
942938348GO1
EDUCATORS MUTUAL
UT
Enumeration date
10/26/2006
Last updated
04/23/2008
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