| Kathleen Fitzwilliam Lakey Llc | |
|
275 E South Temple Suite 101 Salt Lake City UT 84111-1247 | |
| (385) 218-8266 | |
| (801) 364-1433 |
| Full Name | Kathleen Fitzwilliam Lakey Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 275 E South Temple, Salt Lake City, Utah |
| Authorized Official Name and Position | Kathleen Fitzwilliam Lakey (OWNER) |
| Authorized Official Contact | 3852188266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Fitzwilliam Lakey Llc 275 E South Temple Suite 101 Salt Lake City UT 84111-1247 Ph: (385) 218-8266 | Kathleen Fitzwilliam Lakey Llc 275 E South Temple Suite 101 Salt Lake City UT 84111-1247 Ph: (385) 218-8266 |
| NPI Number | 1750826913 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 12/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750826913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7698951-3501 (Utah) | Primary |
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