Individual
SHIRLEY MARIE RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, AMFT
Contact information
Practice address
481 E 1000 S, PLEASANT GROVE, UT 84062-3696
(801) 319-1847
Mailing address
1130 E 700 N, AMERICAN FORK, UT 84003-3222
(801) 319-1847
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10504116-3904
UT
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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