Individual
LANE MATHEW KUNZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 W 2100 S STE 140, SALT LAKE CITY, UT 84115-1852
(801) 382-8259
Mailing address
140 W 2100 S STE 140, SALT LAKE CITY, UT 84115-1852
(801) 382-8259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
12/11/2023
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