Mary Beth Whittaker Lcsw

NPI #1538538525 in Holladay, Utah

Provider Information

NPI Number: 1538538525
Entity Type: Organization
Organization Name: Mary Beth Whittaker Lcsw
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 19, 2015
Last Updated: Sep 19, 2015

Practice Location

Address: 2290 E 4500 S
Address 2: SUITE 210
City: Holladay
State: Utah
ZIP Code: 84117-4492
Phone: (801) 272-3533

Authorized Official

Name: MARY BETH WHITTAKER, LCSW
Title: OWNER
Phone: (801) 272-3533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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