Individual
KILEY KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
5796 S 900 E, MURRAY, UT 84121-1036
(385) 436-2075
Mailing address
1166 E SHERMAN AVE, SALT LAKE CITY, UT 84105-2544
(801) 722-8482
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13965650-3502
UT
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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