Provider Demographics
NPI:1750465381
Name:STOREY, CAROL SYMES (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:SYMES
Last Name:STOREY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58821
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84158
Mailing Address - Country:US
Mailing Address - Phone:801-231-3003
Mailing Address - Fax:801-521-0688
Practice Address - Street 1:24 SOUTH 600 EAST
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102
Practice Address - Country:US
Practice Address - Phone:801-231-3003
Practice Address - Fax:801-521-0688
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical