Individual
KRISTIN LARIE DALKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 S 500 E, SALT LAKE CITY, UT 84102-1002
(801) 428-3483
Mailing address
42 S 500 E, SALT LAKE CITY, UT 84102-1002
(801) 428-3483
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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