Individual
MICHELLE SWENSON TEEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3944 S 400 E, SALT LAKE CITY, UT 84107-1600
(801) 261-1442
Mailing address
1113 EMERSON AVE, SALT LAKE CITY, UT 84105-2527
(801) 230-7064
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3507363501
UT
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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