LINCOLN PAN

SALT LAKE CITY, UT
NPI1891567137
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  12443784-3501)
Enumeration Date2023-10-30
Last Update Date2023-10-30
Business Address
LINCOLN PAN LCSW
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-587-3187
Mailing Address
LINCOLN PAN LCSW
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-587-3187
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