Individual
CORALYN SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115-5218
(385) 242-7400
Mailing address
1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115-5218
(385) 242-7400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8620489-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461047760
—
UT
Enumeration date
10/31/2013
Last updated
10/31/2013
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