Individual
LYLY GONORATSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
370 E SOUTH TEMPLE STE 580, SALT LAKE CITY, UT 84111-1349
(801) 200-3372
Mailing address
3800 S ASH CIR, SALT LAKE CITY, UT 84109-3749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13913570-3502
UT
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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