Individual
KIMALEE ANN URBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
3944 S 400 E, SALT LAKE CITY, UT 84107-1600
(801) 261-1442
Mailing address
3944 S 400 E, SALT LAKE CITY, UT 84107-1600
(801) 261-1442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
49840923502
UT
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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