Individual
CORI MAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 414-3584
Mailing address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 414-3584
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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