Individual
KATHRYN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2655 S LAKE ERIE DR, WEST VALLEY CITY, UT 84120-7350
(385) 441-4900
Mailing address
3785 S ALTA LOMA DR, MILLCREEK, UT 84106-2901
(801) 554-4136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14224180-3502
UT
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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