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Organization

SALT LAKE THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOELLYN ORCUTT MANVILLE LCSW (OWNER)
(801) 669-2055
Entity
Organization

Contact information

Practice address
370 E SOUTH TEMPLE STE 240, SALT LAKE CITY, UT 84111-1262
(801) 669-2055
Mailing address
370 E SOUTH TEMPLE STE 240, SALT LAKE CITY, UT 84111-1262
(801) 669-2055

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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