Individual
HEATHER SHELLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 S KILMUIR CIR, SOUTH JORDAN, UT 84009-9704
(801) 696-8926
Mailing address
9550 S KILMUIR CIR, SOUTH JORDAN, UT 84009-9704
(801) 696-8926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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