Individual
MS. KATHERINE DAYTON-KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
HEALTH SCIENCES CTR, 50 N. MEDICAL DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 587-3049
Mailing address
4084 S 570 E APT 11H, SALT LAKE CITY, UT 84107-2027
(801) 587-3049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54250473501
UT
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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