MEDICARE: MS. MICHELE JEANETTE DABROWSKI LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	1320093501	UT

General Provider Information

NPI Number	:	1396931812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELE JEANETTE DABROWSKI LCSW

Provider Business Mailing Address
First Line	:	3838 S 700 E STE 300
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-2393
Country	:	US
Telephone Number	:	801-590-3400
Fax Number	:	801-685-2227

Provider Business Practice Location Address
First Line	:	3838 S 700 E STE 300
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-2393
Country	:	US
Telephone Number	:	801-590-3400
Fax Number	:	801-685-2227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	09/18/2007

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