Individual
MRS. KRISTIE MARIE CHRISTOFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6856 S 700 E, MIDVALE, UT 84047-1361
(801) 743-6100
Mailing address
6856 S 700 E, MIDVALE, UT 84047-1361
(801) 743-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
51906463501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107035230101
INTRMTN. HEALTH CARE
UT
01
—
885123
DESERET MUTUAL
UT
Enumeration date
01/03/2006
Last updated
07/08/2007
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