Individual provider · Type 1 NPI
Lane Mathew Kunzie
School Social Worker · Salt Lake City, UT
NPI number
1720869175
Active
Practice location
140 W 2100 S Ste 140
Salt Lake City, UT 84115-1852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| School Social Worker Primary | 1041S0200X | None listed |
School Social Worker: Definition to come...
Another provider at this address
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About NPI 1720869175
Lane Mathew Kunzie's National Provider Identifier is 1720869175, issued on Oct 11, 2023. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 11, 2023.