Individual
KAITLIN BODILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2655 S LAKE ERIE DR, WEST VALLEY CITY, UT 84120-7350
(385) 441-4900
Mailing address
954 E OLYMPUS PARK DR APT A209, SALT LAKE CITY, UT 84117-7971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12070665-3502
UT
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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