Individual
MS. MARY KATHLEEN LETTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S KOMAS DR, SUITE 200, SALT LAKE CITY, UT 84108-1215
(484) 667-1529
Mailing address
650 S KOMAS DR, SUITE 200, SALT LAKE CITY, UT 84108-1215
(484) 667-1529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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