Individual
MRS. KELSEY ELIZONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-7328
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-7328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9818311-3501
UT
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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