Individual
MARY MAGIE READE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
650 S KOMAS DR STE 207A, SALT LAKE CITY, UT 84108-1241
(801) 587-9779
(801) 585-5845
Mailing address
650 S KOMAS DR STE 207A, SALT LAKE CITY, UT 84108-1241
(801) 587-9779
(801) 585-5845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12911293501
UT
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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