CELISA PACKER

Social Worker - Clinical

Active Individual
NPI: 1083089643

Practice Address

2020 E LAKE ST
Salt Lake City, UT 84105

Phone: (801) 487-7778

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 9046926-3502 (UT)
Social Worker - School 1041S0200X No 689820 (UT)

Frequently Asked Questions

NPI 1083089643 is the National Provider Identifier for CELISA PACKER, a Social Worker - Clinical provider located in Salt Lake City, UT. This NPI was enumerated on December 8, 2015.
CELISA PACKER practices at 2020 E LAKE ST, Salt Lake City, UT 84105.

Quick Facts

NPI
1083089643
Type
Individual
Enumerated
Dec 8, 2015
Last Updated
Dec 8, 2015

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