Individual
KELLY LYNN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
716 E 4500 S STE N160, MURRAY, UT 84107-3617
(801) 281-1100
(801) 281-1936
Mailing address
PO BOX 5290009, SALT LAKE CITY, UT 84152-0009
(801) 281-1100
(801) 281-1936
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
340474-3501
UT
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
05/02/2019
Last updated
09/30/2020
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