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Individual

JANET MADELEINE POHANKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1141 E 3900 S STE A170, SALT LAKE CITY, UT 84124-1250
(801) 284-4990
Mailing address
1141 E 3900 S STE A170, SALT LAKE CITY, UT 84124-1250
(801) 284-4990

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
132557-3501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005739004
RAILROAD MEDICARE
UT
01
107001390101
INTERMTN HEALTH CARE
UT
01
261927
DESERET MUTUAL
UT
01
942938348002
CHAMPUS
UT
01
942938348P01
EDUCATOR'S MUTUAL
UT
Enumeration date
12/14/2005
Last updated
02/05/2016
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