Individual
MS. LYNNETTE JO MCGAW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
777 W CENTER ST, MIDVALE, UT 84047-7148
(801) 255-6881
Mailing address
80 M ST, #10, SALT LAKE CITY, UT 84103-3853
(801) 322-3126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
342957-3502
UT
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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