Individual
KELLI BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2872 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3147
(801) 485-8051
Mailing address
2872 S HIGHLAND DR, S SALT LAKE, UT 84106-3147
(801) 485-8051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9177246-3502
UT
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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