Individual
KELLY WINSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
4000 S 700 E STE 9, SALT LAKE CITY, UT 84107-2581
(801) 639-9544
Mailing address
1895 E LAMBOURNE AVE, SALT LAKE CITY, UT 84106-3904
(801) 879-8933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11782175-3502
UT
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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