Individual
BENJAMIN RICHARD PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
168 LESLIE AVE, SALT LAKE CITY, UT 84115-3117
(801) 582-1565
Mailing address
168 LESLIE AVE, SALT LAKE CITY, UT 84115-3117
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5620800-3501
UT
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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