Individual
MS. GRETCHEN W SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5770 S 1500 W, BLDG. A, SALT LAKE CITY, UT 84123-5216
(801) 270-4509
Mailing address
11618 SUMMER STONE DR, SOUTH JORDAN, UT 84095-8091
(801) 302-1291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
322032-3501
UT
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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