Individual
CAROLINE ANTONIA MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
981 E 3665 S, SALT LAKE CITY, UT 84106-4722
(202) 421-3113
Mailing address
981 E 3665 S, SALT LAKE CITY, UT 84106-4722
(202) 421-3113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8620762-3501
UT
Other
Enumeration date
08/28/2012
Last updated
06/01/2015
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