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Individual

ASHLEY GRAEF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ASUDC

Contact information

Practice address
4905 S 900 E, SALT LAKE CITY, UT 84117-5703
(415) 250-5959
Mailing address
4905 S 900 E, SALT LAKE CITY, UT 84117-5703
(415) 250-5959

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12514799-6018
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174172449
UT
Enumeration date
09/09/2019
Last updated
11/17/2022
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