Provider Demographics
NPI:1396931812
Name:DABROWSKI, MICHELE JEANETTE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:JEANETTE
Last Name:DABROWSKI
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 1:3838 S 700 E STE 300
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-2393
Mailing Address - Country:US
Mailing Address - Phone:801-590-3400
Mailing Address - Fax:801-685-2227
Practice Address - Street 1:3838 S 700 E STE 300
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-2393
Practice Address - Country:US
Practice Address - Phone:801-590-3400
Practice Address - Fax:801-685-2227
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13200935011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical