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MRS. KATHLEEN MARCIE REMINGTON LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1245277052

Individual Registrant:
MRS. KATHLEEN MARCIE REMINGTON LCSW
Gender: F

Location and contact information for practice:
BITTER BRUSH LANE  BLUFFDALE, UT 84020 US
Tel: 801-576-7000  Fax: --

Contact information for business:
11456 SOUTH COPPER STONE DR  SOUTH JORDAN, UT 84095 US
Tel: 801-253-2828  Fax: --

Registration Information:
NPI: 1245277052
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
UT2743953501

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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