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Organization
DRAGONFLY CHILD AND FAMILY COUNSELING SERVICES
Active
Organization
DRAGONFLY CHILD AND FAMILY COUNSELING SERVICES
Active
Other names
Lisa Whiting CMHC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DIANE WHITING CMHC (OWNER/CLINICIAN)
(801) 597-0303
Entity
Organization
Contact information
Practice address
5802 S 900 E UNIT 7, MURRAY, UT 84121-1644
(801) 810-6082
Mailing address
1038 E QUARRY VIEW WAY, SANDY, UT 84094-7709
(801) 597-0303
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831407071
—
UT
Enumeration date
10/24/2018
Last updated
10/24/2018
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