Individual
MISTY TAE UNGRICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
4460 S HIGHLAND DR STE 2106B, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Mailing address
4460 S HIGHLAND DR STE 2106B, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3801793502
UT
1041C0700X
Clinical Social Worker
Primary
380179-3501
UT
Other
Enumeration date
03/28/2016
Last updated
10/05/2020
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