Individual
MR. GARY JOEL KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1399 S 700 E, SUITE 11B, SALT LAKE CITY, UT 84105-2149
(801) 864-7640
Mailing address
1399 S 700 E, SUITE 11B, SALT LAKE CITY, UT 84105-2149
(801) 864-7640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5258944 3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861613853
LIFESYNCH
UT
Enumeration date
05/01/2007
Last updated
07/22/2011
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