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Individual

MISS CAROLINE EMMA RIDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
754 WEST TIMBERCREEK WAY, #404, SALT LAKE CITY, UT 84119
(801) 888-7454

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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