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MRS. KATHLEEN MARCIE REMINGTON LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1245277052
Individual Registrant:MRS. KATHLEEN MARCIE REMINGTON LCSW
Gender: F
Gender: F
Location and contact information for practice:
BITTER BRUSH LANE BLUFFDALE, UT 84020 US
Tel: 801-576-7000 Fax: --
Tel: 801-576-7000 Fax: --
Contact information for business:
11456 SOUTH COPPER STONE DR SOUTH JORDAN, UT 84095 US
Tel: 801-253-2828 Fax: --
Tel: 801-253-2828 Fax: --
Registration Information:
NPI: 1245277052
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | UT | 2743953501 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
