Individual
MS. CARRIE LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
(435) 752-7433
Mailing address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
(435) 752-7433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10578128-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
990177601002
—
UT
Enumeration date
02/22/2018
Last updated
05/06/2020
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