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Individual

MISS REBECCA ANN MINNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-7988
Mailing address
501 E CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
289937-3501
UT
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
02/24/2011
Last updated
11/10/2022
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