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Individual

EMMA GRATTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APC

Contact information

Practice address
447 BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
Mailing address
447 BEARCAT DR, SALT LAKE CITY, UT 84115-2519

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8081638-6009
UT

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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