Individual
MISS MELINDA PETTINGILL PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1291 S 1100 E STE 201, SALT LAKE CITY, UT 84105
(180) 175-5979
Mailing address
1983 S 1600 E, SALT LAKE CITY, UT 84105-3846
(801) 755-9793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6365751-3501
UT
1041C0700X
Clinical Social Worker
Primary
6365751-3502
UT
Other
Enumeration date
02/08/2007
Last updated
06/11/2018
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