Most Relevant Information
Provider Data
| NPI Number: | 1003035429 |
| Provider Name: | MARK LYNN DUKE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 369885-3501 |
Most Important Dates
| Enumeration Date: | 04/24/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
132 SOUTH STATE
SUITE 200
SALT LAKE CITY
UT
841111506
Practice Location Phone/Fax
| Phone: | 8012403556 |
| Fax: |
Provider Mailing Location
11471 HIGH MOUNTAIN DR
SANDY
UT
840925675
Provider Mailing Phone/Fax
| Phone: | 8018161332 |
| Fax: |