Individual
MARY COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
7601 S REDWOOD RD, BUILDING E, WEST JORDAN, UT 84084-4007
(801) 233-8670
Mailing address
7601 S REDWOOD RD, BUILDING E, WEST JORDAN, UT 84084-4007
(801) 233-8670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
333946-3502
UT
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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