| Marybeth Raynes L.c.s.w., Pc | |
|
275 E South Temple Ste 101 Salt Lake City UT 84111-1243 | |
| (801) 531-7389 | |
| (801) 364-1433 |
| Full Name | Marybeth Raynes L.c.s.w., Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 275 E South Temple Ste 101, Salt Lake City, Utah |
| Authorized Official Name and Position | Carol White (BUSINESS MANAGER) |
| Authorized Official Contact | 8015317389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marybeth Raynes L.c.s.w., Pc 275 E South Temple Ste 101 Salt Lake City UT 84111-1243 Ph: (801) 531-7389 | Marybeth Raynes L.c.s.w., Pc 275 E South Temple Ste 101 Salt Lake City UT 84111-1243 Ph: (801) 531-7389 |
| NPI Number | 1568771061 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568771061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22124871-3501 (Utah) | Primary |
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