Individual
KELLI WARMOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
Mailing address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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