Individual
MRS. MICA DENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
3540 S MAIN ST, SALT LAKE CITY, UT 84115-4435
(801) 997-9500
Mailing address
575 E CHANNEL DR, MURRAY, UT 84107-6524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9438565-3503
UT
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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