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Organization

SALT LAKE THERAPY COLLECTIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATE HAIRLINE (OWNER)
(385) 262-4048
Entity
Organization

Contact information

Practice address
311 S 900 E STE 103, SALT LAKE CITY, UT 84102-2491
(385) 262-4048
Mailing address
777 E SOUTH TEMPLE APT 10C, SALT LAKE CITY, UT 84102-1274

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/18/2020
Last updated
08/18/2020
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