Individual
SHIRLEY WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
825 E 4800 S STE 230, SALT LAKE CITY, UT 84107-5516
(801) 248-3237
Mailing address
1965 SUN MEADOW CIR, SALT LAKE CITY, UT 84106-3976
(801) 680-8595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
372976-3501
UT
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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