Intermountain Senior Clinic

NPI #1982958641 in Murray, Utah

Provider Information

NPI Number: 1982958641
Entity Type: Organization
Organization Name: Intermountain Senior Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: INTERMOUNTAIN HEALTHCARE
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 2, 2012
Last Updated: Nov 2, 2012

Practice Location

Address: 5770 S 250E SUITE 210
City: Murray
State: Utah
ZIP Code: 84107
Phone: (801) 314-4544

Authorized Official

Name: KAY SUE SIMONS, MSW, LCSW
Title: LICENSED CLINICAL SOCIAL WORKER
Phone: (801) 314-4550

Specialties & Taxonomy Codes

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

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