Individual
MRS. PATRICIA SCALLION BERCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
177 PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4501
(385) 468-4498
Mailing address
177 PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4501
(385) 468-4498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
128584-3501
UT
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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