Individual
MS. ASHLEY RAE PYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCM
Contact information
Practice address
252 W BROOKLYN AVE, SALT LAKE CITY, UT 84101-3024
(801) 680-7437
Mailing address
252 W BROOKLYN AVE, SALT LAKE CITY, UT 84101-3024
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ACM-01287
UT
Other
Enumeration date
07/19/2024
Last updated
07/30/2024
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