Individual
MS. RUTH PELLETT MANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
370 E SOUTH TEMPLE, SUITE #240, SALT LAKE CITY, UT 84111-1206
(801) 328-8444
(801) 328-4590
Mailing address
370 E SOUTH TEMPLE, SUITE #240, SALT LAKE CITY, UT 84111-1206
(801) 328-8444
(801) 328-4590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
131196-3501
UT
Other
Enumeration date
04/19/2007
Last updated
01/09/2008
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