Organization
LIT LYNNY'S INNER THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ROSE CHENGAPPA SSW (DIRECTOR OF ADMINISTRATION)
(385) 337-4391
Entity
Organization
Contact information
Practice address
314 W BROADWAY STE 222, SALT LAKE CITY, UT 84101-2038
(385) 337-4391
Mailing address
PO BOX 16621, SALT LAKE CITY, UT 84116-0621
(385) 337-4391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/15/2021
Last updated
08/17/2021
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