Individual
KAMALA GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1459 N MAIN ST # 100, BOUNTIFUL, UT 84010-6092
(801) 298-2000
Mailing address
1306 S 1800 E, SALT LAKE CITY, UT 84108-2218
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/03/2016
Last updated
01/12/2023
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