Individual
PAUL C RASMUSSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(801) 536-6500
(801) 536-6520
Mailing address
2312 PRESTON ST, SALT LAKE CITY, UT 84106-4115
(801) 486-7010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
133270-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107001392101
INTERMOUNTAIN HEALTH CARE
UT
01
—
261929
DESERET MUTUAL
UT
01
—
942938348015
CHAMPUS
UT
01
—
942938348RA1
EDUCATOR'S MUTUAL
UT
01
—
R79743
MEDICARE ADVANTAGE PLANS
UT
Enumeration date
01/20/2006
Last updated
07/08/2007
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