| Paula L. Maloof Lcsw, Inc. | |
|
1399 S 700 E Ste 17 Salt Lake City UT 84105-2171 | |
| (801) 485-7441 | |
| (801) 467-1693 |
| Full Name | Paula L. Maloof Lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1399 S 700 E Ste 17, Salt Lake City, Utah |
| Authorized Official Name and Position | Paula Louise Maloof (OWNER) |
| Authorized Official Contact | 8014857441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paula L. Maloof Lcsw, Inc. 1399 S 700 E Ste 17 Salt Lake City UT 84105-2171 Ph: (801) 485-7441 | Paula L. Maloof Lcsw, Inc. 1399 S 700 E Ste 17 Salt Lake City UT 84105-2171 Ph: (801) 485-7441 |
| NPI Number | 1174829808 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 10/22/2013 |
| Medicare PECOS PAC ID | 8527248194 |
|---|---|
| Medicare Enrollment ID | O20110215000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174829808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1413623501 (Utah) | Primary |
| Provider Name | Paula L Maloof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548341118 PECOS PAC ID: 6709066376 Enrollment ID: I20110215000104 |
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