Organization
KATHLEEN FITZWILLIAM LAKEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN FITZWILLIAM LAKEY LCSW (OWNER)
(385) 218-8266
Entity
Organization
Contact information
Practice address
275 E SOUTH TEMPLE, SUITE 101, SALT LAKE CITY, UT 84111-1247
(385) 218-8266
(801) 364-1433
Mailing address
275 E SOUTH TEMPLE, SUITE 101, SALT LAKE CITY, UT 84111-1247
(385) 218-8266
(801) 364-1433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7698951-3501
UT
Other
Enumeration date
12/27/2016
Last updated
12/30/2016
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