Individual
KANSAS LINDSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1463 S 200 E, SALT LAKE CITY, UT 84115-1613
(801) 879-6190
Mailing address
1463 S 200 E, SALT LAKE CITY, UT 84115-1613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
76937893502
UT
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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