Keene, Susan
Keene, Susan is an individual health care provider with primary practice located at 443 S 600 E , Salt Lake City UT 84102-2708. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keene, Susan can be contacted via phone (801) 538-2057.Contact Information
Primary practice address
443 S 600 E
Salt Lake City UT 84102-2708
Phone: (801) 538-2057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3123283501 | Utah |
Profile Details
| NPI number | 1568433811 |
|---|---|
| LBN Legal business name | Keene, Susan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 8th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568433811 | NPPES |
| Utah | Other | 003117003 | RAILROAD 'CARE RCAR |
| Utah | Other | Q07205 | RAILROAD 'CARE RCAR |
| Utah | Other | 740409 | RAILROAD 'CARE RCAR |
| Utah | Other | 942938348KE1 | RAILROAD 'CARE RCAR |
| Utah | Other | 107011057101 | RAILROAD 'CARE RCAR |
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