Most Relevant Information
Provider Data
| NPI Number: | 1003634932 |
| Provider Name: | MELISSA SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2024 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
195 N 1950 W
SALT LAKE CITY
UT
841163100
Practice Location Phone/Fax
| Phone: | 4359999312 |
| Fax: |
Provider Mailing Location
195 N 1950 W
SALT LAKE CITY
UT
841163100
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |