Gramer Smithe, Mary Jacqueline

Gramer Smithe, Mary Jacqueline is an individual health care provider with primary practice located at 1141 E 3900 S Ste A250, Salt Lake City UT 84124-1215. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gramer Smithe, Mary Jacqueline can be contacted via phone (801) 539-7000.

Contact Information

Primary practice address
1141 E 3900 S Ste A250 Salt Lake City UT 84124-1215
Phone: (801) 539-7000
Fax: (801) 539-7050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 266258-3501 Utah

Profile Details

NPI number 1952372633
LBN Legal business name Gramer Smithe, Mary Jacqueline
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 9th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952372633 NPPES
Utah Other 942938348GR2 EDUCATORS MUTUAL
Utah Other 186306 EDUCATORS MUTUAL
Utah Other S77687 EDUCATORS MUTUAL
Utah Other 005739005 EDUCATORS MUTUAL
Utah Other 262026 EDUCATORS MUTUAL
Utah MEDICAID 942938348014 EDUCATORS MUTUAL
Utah Other 942938348 EDUCATORS MUTUAL

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