Individual
MS. MARIANNE E WATSON
Active
Sole proprietor
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
(801) 261-9569
Mailing address
7388 CAMELBACK CIR, SALT LAKE CITY, UT 84121-5121
(801) 942-3414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
59897583502
UT
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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