Individual
MR. MARC B GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
222 S MAIN ST, SUITE 500, SALT LAKE CITY, UT 84101-2174
(385) 282-5125
(801) 990-4601
Mailing address
6754 S SIENA PARK LN, MIDVALE, UT 84047-5036
(385) 282-5125
(801) 990-4601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
345046-3501
UT
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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