Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 94031943501 | UT |
NPI | 1003174426 |
---|---|
Provider Name | Mrs. Karen M Salisbury |
First Address | Cedar Hills, UT 84062-8621 |
Second Address | Pleasant Grove, UT 84062-3623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2012 |
Last Update Date | 03/04/2019 |