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Individual

MARY ANNE FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
525 E 100 S, SUITE 120, SALT LAKE CITY, UT 84102-4210
(801) 483-2447
Mailing address
525 E 100 S, SUITE 120, SALT LAKE CITY, UT 84102-4210
(801) 483-2447

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5212820-6004
UT

Other

Enumeration date
03/29/2011
Last updated
11/28/2012
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