Individual
MITZI CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 E 3150 S, SALT LAKE CITY, UT 84106-3462
(801) 230-9631
Mailing address
1500 E 3150 S, SALT LAKE CITY, UT 84106-3462
(801) 230-9631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5478175-3501
UT
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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