MRS. Adrienne Melissa Koffman, LCSW

NPI #1992909170 in Holladay, Utah

Provider Information

NPI Number: 1992909170
Entity Type: Individual
Name: MRS. Adrienne Melissa Koffman, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 12, 2007
Last Updated: Mar 26, 2015

Practice Location

Address: 4625 S 2300 E STE 211
City: Holladay
State: Utah
ZIP Code: 84117-4582
Phone: (801) 865-1453

Specialties & Taxonomy Codes

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

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