Individual
BERNADETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
7903 HARVEL DR, SANDY, UT 84070-0118
(801) 493-2100
(801) 493-2103
Mailing address
7903 HARVEL DR, SANDY, UT 84070-0118
(801) 493-2100
(801) 493-2103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
350534-6009
UT
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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