Individual
CALYPSO THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3871 S 1605 W, WEST VALLEY CITY, UT 84119-4841
(801) 935-5796
Mailing address
916 E 500 S # A, SALT LAKE CITY, UT 84102-3018
(603) 582-7336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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